Provider Demographics
NPI:1992970677
Name:BRICENO SANCHEZ, ROSANNA (MD)
Entity type:Individual
Prefix:DR
First Name:ROSANNA
Middle Name:
Last Name:BRICENO 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 1:457 CAMINO DE GUAJATACA
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3638
Mailing Address - Country:US
Mailing Address - Phone:787-412-5043
Mailing Address - Fax:334-326-5452
Practice Address - Street 1:R14 CALLE 16
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3813
Practice Address - Country:US
Practice Address - Phone:787-412-5043
Practice Address - Fax:334-326-5452
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18584208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice