Provider Demographics
NPI:1316184674
Name:SCHENK, CHRISTIAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:E
Last Name:SCHENK
Suffix:
Gender:M
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:MANSIONES DE GUAYNABO
Mailing Address - Street 2:C16 CALLE 3
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-222-0011
Mailing Address - Fax:844-463-2999
Practice Address - Street 1:CDT LAS PIEDRAS
Practice Address - Street 2:CARR PR 198 KM 7.6
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-222-0011
Practice Address - Fax:844-463-2999
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR184232084N0400X
PR182432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHN336ZMedicare PIN