Healthcare Provider Details

I. General information

NPI: 1528366374
Provider Name (Legal Business Name): RAMON A SANCHEZ MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BALLENA 268 BRISAS DE MAR CHIQUITA
MANATI PR
00674
US

IV. Provider business mailing address

CALLE BALLENA 268 BRISAS DE MAR CHIQUITA
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 787-224-6163
  • Fax:
Mailing address:
  • Phone: 787-224-6163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10377
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: