1942569926 NPI number — FEDERICO MANUEL SANCHEZ IDC

Table of content: FEDERICO MANUEL SANCHEZ IDC (NPI 1942569926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942569926 NPI number — FEDERICO MANUEL SANCHEZ IDC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ
Provider First Name:
FEDERICO
Provider Middle Name:
MANUEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
IDC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942569926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NAVAL HOSPITAL YOKOSUKA BRANCH CLINIC CHINHAE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PSC 479 BX 513
Provider Business Mailing Address State Name:
FPO-AP
Provider Business Mailing Address Postal Code:
96269
Provider Business Mailing Address Country Code:
KR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NAVAL HOSPITAL YOKOSUKA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PSC 475 BX1
Provider Business Practice Location Address State Name:
FPO-AP
Provider Business Practice Location Address Postal Code:
96350
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
315-763-8786
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1710I1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)