Provider Demographics
NPI:1689851321
Name:SANCHEZ, GRECIA (BSMT)
Entity Type:Individual
Prefix:MRS
First Name:GRECIA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BSMT
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 71325
Mailing Address - Street 2:SUITE 64
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8425
Mailing Address - Country:US
Mailing Address - Phone:787-751-7255
Mailing Address - Fax:787-274-2283
Practice Address - Street 1:894 CALLE 45 SE
Practice Address - Street 2:AVE AMERICO MIRANDA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1815
Practice Address - Country:US
Practice Address - Phone:787-751-7255
Practice Address - Fax:787-274-2283
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1360291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory