Provider Demographics
NPI:1639264633
Name:SANZ, MARINA (MD)
Entity Type:Individual
Prefix:MS
First Name:MARINA
Middle Name:
Last Name:SANZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARINA
Other - Middle Name:
Other - Last Name:SANZ
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:EDIF SAN ALBERTO
Mailing Address - Street 2:605 CONDADO ST SUITE 603
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3843
Mailing Address - Country:US
Mailing Address - Phone:787-721-3304
Mailing Address - Fax:787-721-3304
Practice Address - Street 1:EDIF SAN ALBERTO
Practice Address - Street 2:605 CONDADO ST SUITE 603
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3843
Practice Address - Country:US
Practice Address - Phone:787-721-3304
Practice Address - Fax:787-721-3304
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR95942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry