Provider Demographics
NPI:1659792208
Name:J.J. SANCHEZ PEDIATRICS, PSC
Entity Type:Organization
Organization Name:J.J. SANCHEZ PEDIATRICS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-833-5050
Mailing Address - Street 1:PO BOX 2103
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2103
Mailing Address - Country:US
Mailing Address - Phone:787-833-5050
Mailing Address - Fax:787-833-5050
Practice Address - Street 1:63 CALLE MENDEZ VIGO E
Practice Address - Street 2:COND CENTRO PLAZA OFIC 3-B
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4972
Practice Address - Country:US
Practice Address - Phone:787-833-5050
Practice Address - Fax:787-833-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR58436001Medicare UPIN