Provider Demographics
NPI:1851419725
Name:NORIEGA-SANCHEZ, MONSERRATE (MD)
Entity Type:Individual
Prefix:
First Name:MONSERRATE
Middle Name:
Last Name:NORIEGA-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 217
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0217
Mailing Address - Country:US
Mailing Address - Phone:787-785-8294
Mailing Address - Fax:787-785-8294
Practice Address - Street 1:1845 CARR 2 STE 507
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7204
Practice Address - Country:US
Practice Address - Phone:787-785-8294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0093262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR067505OtherCRUZ AZUL
PR9906XOtherMEDICAID
PRE10158Medicare UPIN
PR81558Medicare ID - Type Unspecified