Provider Demographics
NPI:1841550795
Name:SANCHEZ, MIRELYS
Entity type:Individual
Prefix:MISS
First Name:MIRELYS
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. COSTA BRAVA 232 SAN PEDRITO STREET
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-6301
Mailing Address - Country:US
Mailing Address - Phone:787-942-5427
Mailing Address - Fax:
Practice Address - Street 1:2 KM 111.3 BO MORA
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-8002
Practice Address - Country:US
Practice Address - Phone:787-830-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7515246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist