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NPI Code Detail

MEDICARE: DR. LUIS M SANCHEZ CASO PSY. D.

MEDICARE: DR. LUIS M SANCHEZ CASO PSY. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0700XAdult Development & Aging Psychologist
2103TC0700XClinical Psychologist1154PR
3103TC2200XClinical Child & Adolescent Psychologist
4103TM1800XIntellectual & Developmental Disabilities Psychologist

General Provider Information

NPI Number : 1568918035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS M SANCHEZ CASO PSY. D.
Provider Business Mailing Address
First Line : PO BOX 360275
Second Line :
City : SAN JUAN
State : PR
Zip : 00936-0275
Country : US
Telephone Number : 787-783-0123
Fax Number :
Provider Business Practice Location Address
First Line : 356 CALLE ENSENADA
Second Line : STE E FL 2
City : SAN JUAN
State : PR
Zip : 00920-3501
Country : US
Telephone Number : 787-783-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2016
Last Update Date : 08/25/2016

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