Provider Demographics
NPI:1467457929
Name:BANCHS, HECTOR L (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:L
Last Name:BANCHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:497 AVE EMILIANO POL
Mailing Address - Street 2:STE 80
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5602
Mailing Address - Country:US
Mailing Address - Phone:787-757-8780
Mailing Address - Fax:787-276-9174
Practice Address - Street 1:4AS1 VIA LETICIA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-4801
Practice Address - Country:US
Practice Address - Phone:787-757-8780
Practice Address - Fax:787-276-9174
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6527207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79740Medicare UPIN
PR0028281Medicare ID - Type Unspecified