Provider Demographics
NPI:1912382839
Name:SANCHEZ, JUAN GILBERTO (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:GILBERTO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 15552
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9649
Mailing Address - Country:US
Mailing Address - Phone:787-439-5728
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 15552
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-9649
Practice Address - Country:US
Practice Address - Phone:787-439-5728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3201122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist