Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101029040 | VA |
N | 207VG0400X | Gynecologist | 0101029040 | VA |
NPI | 1023049061 |
---|---|
Provider Name | Dr. Luis E. Sanz |
First Address | Arlington, VA 22205-3683 |
Second Address | Arlington, VA 22205-3683 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 12/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010178100 | (05) | VA |
BS7393539 | DEA (01) | |
C88770 | (02) |