Provider Demographics
NPI:1558092320
Name:SANCHEZ, JOSUE RENE SR (DPT)
Entity Type:Individual
Prefix:
First Name:JOSUE
Middle Name:RENE
Last Name:SANCHEZ
Suffix:SR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA CAROLINA 3EXT STREET 50 BLOCK 55
Mailing Address - Street 2:HOUSE 9
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5535
Mailing Address - Country:US
Mailing Address - Phone:787-203-4016
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA CAROLINA 3 EXT
Practice Address - Street 2:55-9 CALLE 50
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5535
Practice Address - Country:US
Practice Address - Phone:787-203-4016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist