Provider Demographics
NPI:1497979454
Name:SANCHEZ, MARIA
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND SAN MATEO
Mailing Address - Street 2:APARTAMENTO 802
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3802
Mailing Address - Country:US
Mailing Address - Phone:787-988-0607
Mailing Address - Fax:
Practice Address - Street 1:COND SAN MATEO
Practice Address - Street 2:APARTAMENTO 802
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3802
Practice Address - Country:US
Practice Address - Phone:787-988-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13277208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics