Provider Demographics
NPI:1942287594
Name:SANCHEZ, RAUL (DMD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:
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:PO BOX 363046
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3046
Mailing Address - Country:US
Mailing Address - Phone:787-765-0000
Mailing Address - Fax:787-764-1815
Practice Address - Street 1:180 CALLE LOS MIRTOS
Practice Address - Street 2:HYDE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4235
Practice Address - Country:US
Practice Address - Phone:787-765-0000
Practice Address - Fax:787-764-1815
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5101223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics