Provider Demographics
NPI:1407450240
Name:SANCHEZ, MARIA CELENIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CELENIA
Last Name:SANCHEZ
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:PRADERAS DE NAVARRO
Mailing Address - Street 2:CALLE CINABRIO H1 NUM 93
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-689-7474
Mailing Address - Fax:
Practice Address - Street 1:PRADERAS DE NAVARRO
Practice Address - Street 2:CALLE CINABRIO H1 NUM 93
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-689-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR562152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist