Provider Demographics
NPI:1376307769
Name:SANCHEZ RUIZ, KIDIANYS MARIE
Entity Type:Individual
Prefix:
First Name:KIDIANYS
Middle Name:MARIE
Last Name:SANCHEZ RUIZ
Suffix:
Gender:F
Credentials:
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 807
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-0807
Mailing Address - Country:US
Mailing Address - Phone:787-516-7741
Mailing Address - Fax:
Practice Address - Street 1:BO PESAS LA LINEA C-1 CARR 149 KM 17.6
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638
Practice Address - Country:US
Practice Address - Phone:787-516-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program