Provider Demographics
NPI:1245455336
Name:SANCHEZ-BORRERO, RENE (MD)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:SANCHEZ-BORRERO
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 1:190 MARIA ANTONIETA
Mailing Address - Street 2:VILLA DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-720-0697
Mailing Address - Fax:787-790-0773
Practice Address - Street 1:505 INSTITUO SAN PABLO
Practice Address - Street 2:505
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7050
Practice Address - Country:US
Practice Address - Phone:787-786-4511
Practice Address - Fax:787-786-9393
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR69662084N0400X, 2084N0600X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0098751Medicare PIN
PRC84333Medicare UPIN