Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 07210 | PR |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 07210 | PR |
NPI | 1407903917 |
---|---|
Provider Name | Dr. Gustavo R Sanchez |
First Address | Guayama, PR 00784-5338 |
Second Address | Guayama, PR 00784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 23/10/2014 |