Provider Demographics
NPI:1326029646
Name:OCASTO, JOSE F SANCHEZ SR (MD)
Entity Type:Individual
Prefix:
First Name:JOSE F
Middle Name:SANCHEZ
Last Name:OCASTO
Suffix:SR
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:PO BOX 801112
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1112
Mailing Address - Country:US
Mailing Address - Phone:787-840-7110
Mailing Address - Fax:787-259-5995
Practice Address - Street 1:EEDIFICIO PARRA OFICINA 405 PONCE BY PASS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-840-7110
Practice Address - Fax:787-259-5995
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4379208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C77544Medicare UPIN
27513Medicare ID - Type Unspecified