Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 17041 | PR |
NPI | 1023289238 |
---|---|
Provider Name | Dr. Wilmer A Sanchez |
First Address | Lajas, PR 00667-0267 |
Second Address | Lajas, PR 00667-0267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 14/03/2008 |