Provider Demographics
NPI:1881809515
Name:SANCHEZ, ALFREDO FELIPE
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:FELIPE
Last Name:SANCHEZ
Suffix:
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:PO BOX 438
Mailing Address - Street 2:CALLE SAN QUINTIN #78
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0438
Mailing Address - Country:US
Mailing Address - Phone:787-796-1630
Mailing Address - Fax:
Practice Address - Street 1:78 CALLE SAN QUINTIN
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5126
Practice Address - Country:US
Practice Address - Phone:787-796-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice