Provider Demographics
NPI:1164470886
Name:SANCHEZ RIVERA, HECTOR LUIS (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:LUIS
Last Name:SANCHEZ RIVERA
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:P.O. BOX 7375
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7375
Mailing Address - Country:US
Mailing Address - Phone:787-744-5414
Mailing Address - Fax:787-258-4587
Practice Address - Street 1:158 FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3337
Practice Address - Country:US
Practice Address - Phone:787-852-3560
Practice Address - Fax:787-852-3538
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5654207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR27227OtherSSS
PR67906OtherCRUZ AZUL
PR660545671-4OtherMCS
PR6610095OtherHUMANA
PR2501OtherINTERNATIONAL MED CARD
PR67906OtherCRUZ AZUL
PR2-7227Medicare PIN
PR6610095OtherHUMANA
PR67906OtherCRUZ AZUL