Provider Demographics
NPI:1629955604
Name:MEDFACIAL SURGERY LLC
Entity type:Organization
Organization Name:MEDFACIAL SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANCHEZ PEREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-785-8981
Mailing Address - Street 1:CONDOMINIO PUERTO PASEOS 385 AVENIDA DONA FELISA
Mailing Address - Street 2:APT 1101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-785-8981
Mailing Address - Fax:
Practice Address - Street 1:BAYAMON MEDICAL PLAZA 1845 CARR 2
Practice Address - Street 2:SUITE 105
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6006
Practice Address - Country:US
Practice Address - Phone:787-785-8981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty