1942380365 NPI number — DR. JO-AN MARIE SANCHEZ PEREZ DMD

Table of content: DR. JO-AN MARIE SANCHEZ PEREZ DMD (NPI 1942380365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942380365 NPI number — DR. JO-AN MARIE SANCHEZ PEREZ DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ PEREZ
Provider First Name:
JO-AN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANCHEZ PEREZ
Provider Other First Name:
JO-AN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1942380365
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 360140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-0140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-256-0225
Provider Business Mailing Address Fax Number:
787-876-2855

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PLAZA NORESTE SHOPPING CENTER
Provider Second Line Business Practice Location Address:
SUITE #22, VILLAS DE LOIZA
Provider Business Practice Location Address City Name:
CANOVANAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-256-0225
Provider Business Practice Location Address Fax Number:
787-876-2855
Provider Enumeration Date:
10/17/2006

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: 1223G0001X , with the licence number:  2403 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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