Provider Demographics
NPI:1053490573
Name:SANCHEZ, EFRAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:EFRAIN
Middle Name:
Last Name:SANCHEZ
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:PO BOX 1629
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1629
Mailing Address - Country:US
Mailing Address - Phone:787-760-1632
Mailing Address - Fax:787-760-9074
Practice Address - Street 1:EDIFICIO CENTRO 4
Practice Address - Street 2:OFICINA 205
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-760-1632
Practice Address - Fax:787-760-9074
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4717207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0024709Medicare ID - Type Unspecified
PRC79383Medicare UPIN