Provider Demographics
NPI:1164671988
Name:SANCHEZ, MYRIAM H (RN)
Entity Type:Individual
Prefix:MRS
First Name:MYRIAM
Middle Name:H
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RESIDENCIAL CORDERO DAVILA EDIFICIO #3
Mailing Address - Street 2:APT 11
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ASOCIACION DE MAESTRO DE P.R. (PROSSAM)
Practice Address - Street 2:CL SERGIO CUEVAS BUSTEMANTE 555
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-758-5560
Practice Address - Fax:787-767-6600
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24458163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse