Provider Demographics
NPI:1013916741
Name:DOLZ SANCHEZ, LETICIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:LETICIA
Middle Name:
Last Name:DOLZ SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CALLE YAGUEZ
Mailing Address - Street 2:ESTANCIAS DEL RIO
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-9620
Mailing Address - Country:US
Mailing Address - Phone:787-747-1192
Mailing Address - Fax:787-748-2085
Practice Address - Street 1:10 CALLE YAGUEZ
Practice Address - Street 2:ESTANCIAS DEL RIO
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-9620
Practice Address - Country:US
Practice Address - Phone:787-747-1192
Practice Address - Fax:787-748-2085
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
29706Medicare ID - Type Unspecified
08533Medicare UPIN