Provider Demographics
NPI:1235380874
Name:SANCHEZ, JOSE E (MT)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2037
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2037
Mailing Address - Country:US
Mailing Address - Phone:787-720-3101
Mailing Address - Fax:787-272-6750
Practice Address - Street 1:57 AVE ESMERALDA
Practice Address - Street 2:PONCE DE LEON
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4429
Practice Address - Country:US
Practice Address - Phone:787-720-3101
Practice Address - Fax:787-272-6750
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1453246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038204Medicare PIN