Provider Demographics
NPI:1336994078
Name:SANCHEZ PEREZ, FERNANDO ALBERTO I
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:ALBERTO
Last Name:SANCHEZ PEREZ
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GRAND BLVD PASEOS
Mailing Address - Street 2:SUITE 112 PMB 365
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-215-7351
Mailing Address - Fax:
Practice Address - Street 1:100 GRAND BLVD PASEOS
Practice Address - Street 2:SUITE 112 PMB 365
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-215-7351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program