Provider Demographics
NPI:1043334683
Name:SANCHEZ QUILES, VICENTE R (MD)
Entity Type:Individual
Prefix:
First Name:VICENTE
Middle Name:R
Last Name:SANCHEZ QUILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 CALLE SAUCO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6720
Mailing Address - Country:US
Mailing Address - Phone:787-530-4254
Mailing Address - Fax:787-764-8548
Practice Address - Street 1:1901 CALLE SAUCO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6720
Practice Address - Country:US
Practice Address - Phone:787-530-4254
Practice Address - Fax:787-764-8548
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine