Provider Demographics
NPI:1669468948
Name:SANCHEZ, JANICE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
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 250067
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0067
Mailing Address - Country:US
Mailing Address - Phone:787-890-0310
Mailing Address - Fax:787-890-1358
Practice Address - Street 1:704 BELT RD
Practice Address - Street 2:RAMEY
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-1319
Practice Address - Country:US
Practice Address - Phone:787-890-0310
Practice Address - Fax:787-890-1358
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8936208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR067808OtherLA CRUZ AZUL DE PR
PR6050009OtherHUMANA HEALTH PLANS PR
PR201360OtherPREFERRED HEALTH
PR81568SAOtherTRIPLE S, INC
PRE81700Medicare UPIN
PR81568SAOtherTRIPLE S, INC