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NPI Code Detail

MEDICARE: GERARDO SANCHEZ SR.

MEDICARE:   GERARDO  SANCHEZ SR.
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
1103TC0700XClinical Psychologist3164PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13164OTHERPRLIC.#

General Provider Information

NPI Number : 1811310402
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARDO SANCHEZ SR.
Provider Business Mailing Address
First Line : MCLEARY #1801 APT. #403
Second Line : COND. BEACH COURT
City : SAN JUAN
State : PR
Zip : 00911-0000
Country : US
Telephone Number : 787-667-2942
Fax Number :
Provider Business Practice Location Address
First Line : MCLEARY #1801 APT. #403
Second Line : COND. BEACH COURT
City : SAN JUAN
State : PR
Zip : 00911-0000
Country : US
Telephone Number : 787-667-2942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 02/03/2014

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Directions to “ GERARDO SANCHEZ SR. ” Practice Location

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