Healthcare Provider Details

I. General information

NPI: 1972007797
Provider Name (Legal Business Name): DOMINIC SANCHEZ PAREDES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL AUXILIO MUTUO AVE JUAN PONCE DE LEON 715
SAN JUAN PR
00917-5032
US

IV. Provider business mailing address

ORIENTAL TOWER SUITE 1001, 290 AVE JESUS T PINERO
SAN JUAN PR
00918-4376
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number021831
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: