Provider Demographics
NPI:1508800210
Name:SANCHEZ, NILDA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:NILDA
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H21 CALLE BAILEN
Mailing Address - Street 2:URB. VILLA ANDALUCIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2515
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-761-8497
Practice Address - Street 1:H21 CALLE BAILEN
Practice Address - Street 2:URB. VILLA ANDALUCIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2515
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-761-8497
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1594OtherPR DENTIST LICENSE