Provider Demographics
NPI:1063497485
Name:DIAZ-SANCHEZ, ALBERTO LUIS (DMD,MS,MPH)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:LUIS
Last Name:DIAZ-SANCHEZ
Suffix:
Gender:M
Credentials:DMD,MS,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA 38 MQ-27
Mailing Address - Street 2:MONTE CLARO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3578
Mailing Address - Country:US
Mailing Address - Phone:787-780-7788
Mailing Address - Fax:787-780-7788
Practice Address - Street 1:AGUAS BUENAS AVE. BLK. 10 #14
Practice Address - Street 2:SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-7788
Practice Address - Fax:787-780-7788
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice