Provider Demographics
NPI:1982347282
Name:SANCHEZ DIAZ, JIM XAVIER (MD)
Entity Type:Individual
Prefix:
First Name:JIM
Middle Name:XAVIER
Last Name:SANCHEZ DIAZ
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:CONDOMINIO ALAMANDA 70 CALLE ALAMANDA APT 2063
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-238-5199
Mailing Address - Fax:
Practice Address - Street 1:PR WOMEN AND CHILDREN'S HOSPITAL
Practice Address - Street 2:CARRETERA #2, KM. 11.7
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program