Healthcare Provider Details

I. General information

NPI: 1659380681
Provider Name (Legal Business Name): DR. JULIO E SANCHEZ-PONT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JULIO ERNESTO SANCHEZ M.D.

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516B CALLE JUAN J JIMENEZ
SAN JUAN PR
00918-2605
US

IV. Provider business mailing address

516B CALLE JUAN J JIMENEZ
SAN JUAN PR
00918-2605
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-6018
  • Fax: 787-282-0168
Mailing address:
  • Phone: 787-751-6018
  • Fax: 787-282-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number14181
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: