Provider Demographics
NPI:1306002415
Name:SANCHEZ ORTIZ, LEYDA GISSELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEYDA
Middle Name:GISSELLE
Last Name:SANCHEZ ORTIZ
Suffix:
Gender:F
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:PO BOX 10076
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0076
Mailing Address - Country:US
Mailing Address - Phone:787-365-6959
Mailing Address - Fax:
Practice Address - Street 1:100 CARR 165 STE 308
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-8050
Practice Address - Country:US
Practice Address - Phone:787-365-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA102590002084N0402X
NE330782084N0402X
WAMD612198712084N0402X
PR180542084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology