Provider Demographics
NPI:1003363425
Name:JANER SANCHEZ, FERNANDO (ND, MSW)
Entity type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:
Last Name:JANER SANCHEZ
Suffix:
Gender:M
Credentials:ND, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 CAPITAN
Mailing Address - Street 2:BARRIO PAJAROS
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-972-6234
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 8210
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-9745
Practice Address - Country:US
Practice Address - Phone:787-972-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8644104100000X
PR40175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No104100000XBehavioral Health & Social Service ProvidersSocial Worker