Provider Demographics
NPI:1558301788
Name:SANCHEZ, VICTOR I (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:I
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
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 468
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0468
Mailing Address - Country:US
Mailing Address - Phone:787-884-0899
Mailing Address - Fax:
Practice Address - Street 1:CARR # 2 TORRE MEDICA DR. PEDRO BLANCO LUGO
Practice Address - Street 2:SUITE 206
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4661
Practice Address - Country:US
Practice Address - Phone:787-884-0899
Practice Address - Fax:787-884-0127
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH82133Medicare UPIN
PR0090139Medicare ID - Type Unspecified