Provider Demographics
NPI:1790747103
Name:SANCHEZ, GINNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:GINNETTE
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 1:350 VIA AVENTURA
Mailing Address - Street 2:APT 6807 ENCANTADA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6184
Mailing Address - Country:US
Mailing Address - Phone:787-243-5200
Mailing Address - Fax:787-292-4153
Practice Address - Street 1:BO. MONACILLO CARR.22
Practice Address - Street 2:PASEO DR. JOSE CELSO BARBOSA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-777-3800
Practice Address - Fax:787-777-3705
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12248207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH28772Medicare UPIN
PR20024Medicare ID - Type Unspecified