Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 3442 | PR |
NPI | 1265637334 |
---|---|
Provider Name | Dr. Carlos R Sanchez |
First Address | Guaynabo, PR 00968 |
Second Address | Guaynabo, PR 00968 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 08/07/2007 |