Provider Demographics
NPI:1003074121
Name:FOURNIER SANCHEZ, TATIANA M (MD)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:M
Last Name:FOURNIER SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3451
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-3451
Mailing Address - Country:US
Mailing Address - Phone:787-877-8953
Mailing Address - Fax:787-877-8953
Practice Address - Street 1:CARR 110 KM 12.8
Practice Address - Street 2:EDIF DON PABLO III
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-0000
Practice Address - Country:US
Practice Address - Phone:787-877-8953
Practice Address - Fax:787-877-1651
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18229207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology