Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 0101048376 | VA |
N | 208800000X | Urologist | 39215 | NC |
Y | 208800000X | Urologist | 7613 | PR |
NPI | 1023069986 |
---|---|
Provider Name | Dr. Jose M Sanchez |
First Address | San Juan, PR 00936-0339 |
Second Address | Ponce, PR 00716-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 08/07/2007 |