Provider Demographics
NPI:1205849528
Name:POLANCO SANCHEZ, VICTOR MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MANUEL
Last Name:POLANCO SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2011
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2011
Mailing Address - Country:US
Mailing Address - Phone:787-735-1460
Mailing Address - Fax:787-735-1690
Practice Address - Street 1:CALLE JOSE VAZQUEZ
Practice Address - Street 2:EDIFICIO GUAYACAN SUITE 104
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-1460
Practice Address - Fax:787-735-1690
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9399207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine