Provider Demographics
NPI:1851446835
Name:JOSE E SANCHEZ
Entity Type:Organization
Organization Name:JOSE E SANCHEZ
Other - Org Name:LABORATORIO CLINICO OASIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-720-3101
Mailing Address - Street 1:PO BOX 2037
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2037
Mailing Address - Country:US
Mailing Address - Phone:787-761-1625
Mailing Address - Fax:787-272-6750
Practice Address - Street 1:57 AVE ESMERALDA
Practice Address - Street 2:PONCE DE LEON
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4429
Practice Address - Country:US
Practice Address - Phone:787-720-3101
Practice Address - Fax:787-272-6750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR636291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038204Medicare PIN