Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 1350 | PR |
NPI | 1093350274 |
---|---|
Provider Name | Mr. Manuel Gerardo Sanchez Latoni |
First Address | Guaynabo, PR 00966-2700 |
Second Address | Guaynabo, PR 00966-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2019 |
Last Update Date | 11/12/2019 |