Provider Demographics
NPI:1265564694
Name:CORUJO SANCHEZ, YAZMIN (MD)
Entity type:Individual
Prefix:DR
First Name:YAZMIN
Middle Name:
Last Name:CORUJO 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:PO BOX 5429
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5429
Mailing Address - Country:US
Mailing Address - Phone:787-744-8686
Mailing Address - Fax:787-258-1125
Practice Address - Street 1:AVE LUIS MUNOZ MARIN
Practice Address - Street 2:HIMA SAN PABLO SUITE 907
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-8686
Practice Address - Fax:787-258-1125
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13194207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20966Medicare ID - Type Unspecified
PRH62458Medicare UPIN