Provider Demographics
NPI:1588271142
Name:SANCHEZ RODRIGUEZ, LUIS GUILLERMO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:GUILLERMO
Last Name:SANCHEZ RODRIGUEZ
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:PASEO PALMA REAL 45 CALLE GORRION
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-3121
Mailing Address - Country:US
Mailing Address - Phone:787-366-7578
Mailing Address - Fax:
Practice Address - Street 1:PASEO PALMA REAL 45 CALLE GORRION
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3121
Practice Address - Country:US
Practice Address - Phone:787-366-7578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program