Provider Demographics
NPI:1104182872
Name:SANCHEZ, ISIS M (DMD)
Entity Type:Individual
Prefix:
First Name:ISIS
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 CALLE EDISON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4708
Mailing Address - Country:US
Mailing Address - Phone:787-938-8723
Mailing Address - Fax:
Practice Address - Street 1:306 CALLE EDISON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4708
Practice Address - Country:US
Practice Address - Phone:787-938-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-07
Last Update Date:2012-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program