Provider Demographics
NPI:1790971315
Name:SANCHEZ, MARY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:URB. SAN GERARDO OKLAHOMA ST.
Mailing Address - Street 2:#312
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-767-4461
Mailing Address - Fax:787-767-4461
Practice Address - Street 1:CONCILIO DE SALUD INTEGRAL DE LOIZA
Practice Address - Street 2:CARR. #188 INT.#187
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772
Practice Address - Country:US
Practice Address - Phone:787-876-7415
Practice Address - Fax:787-876-7416
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16863207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine