Provider Demographics
NPI:1356019947
Name:SANCHEZ LAMBOY, KEDDIE (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:KEDDIE
Middle Name:
Last Name:SANCHEZ LAMBOY
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:KEDDIE
Other - Middle Name:
Other - Last Name:SANCHEZ LAMBOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:15 CALLE DR BASORA N
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4833
Mailing Address - Country:US
Mailing Address - Phone:787-834-0101
Mailing Address - Fax:
Practice Address - Street 1:PEREA HOSPITAL
Practice Address - Street 2:CALLE BASORA 15 N
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-0068
Practice Address - Country:US
Practice Address - Phone:787-675-9443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22497208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice