Healthcare Provider Details

I. General information

NPI: 1023096039
Provider Name (Legal Business Name): CARMEN E SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB INDUSTRIAL REPARADA CALLE ANA D PEREZ MARCHAND PONCE SCHOOL OF MEDICINE
PONCE PR
00732
US

IV. Provider business mailing address

2197 AVE LAS AMERICAS APT 406
PONCE PR
00717-0727
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-0052
  • Fax: 787-840-2317
Mailing address:
  • Phone: 787-840-4256
  • Fax: 787-840-2317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number4613
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: