Provider Demographics
NPI:1659380681
Name:SANCHEZ-PONT, JULIO E
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:E
Last Name:SANCHEZ-PONT
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JULIO
Other - Middle Name:ERNESTO
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:516B CALLE JUAN J JIMENEZ
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2605
Mailing Address - Country:US
Mailing Address - Phone:787-751-6018
Mailing Address - Fax:787-282-0168
Practice Address - Street 1:516B CALLE JUAN J JIMENEZ
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2605
Practice Address - Country:US
Practice Address - Phone:787-751-6018
Practice Address - Fax:787-282-0168
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14181207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR002-2711Medicare ID - Type UnspecifiedPROVIDER NUMBER
PR1-22824Medicare UPIN