Provider Demographics
NPI:1184044869
Name:SANCHEZ, RUBEN JR
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:
Last Name:SANCHEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W BITTERS RD
Mailing Address - Street 2:APT 708
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7986
Mailing Address - Country:US
Mailing Address - Phone:830-486-8841
Mailing Address - Fax:
Practice Address - Street 1:400 W BITTERS RD
Practice Address - Street 2:APT 708
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7986
Practice Address - Country:US
Practice Address - Phone:830-486-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program