Provider Demographics
NPI:1083640155
Name:LUIGI SANCHEZ, GIANCARLO E (MD)
Entity Type:Individual
Prefix:
First Name:GIANCARLO
Middle Name:E
Last Name:LUIGI 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 1:162 AVE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5725
Mailing Address - Country:US
Mailing Address - Phone:787-882-2602
Mailing Address - Fax:787-551-3020
Practice Address - Street 1:AVENUE PEDRO ALBIZU CAMPOS 162
Practice Address - Street 2:STE 2
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-2602
Practice Address - Fax:787-882-2602
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9008207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77773Medicare ID - Type Unspecified