Provider Demographics
NPI:1861563207
Name:SANCHEZ CHEVEREZ, LUIS A I (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:SANCHEZ CHEVEREZ
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LUIS
Other - Middle Name:A
Other - Last Name:SANCHEZ CHEVEREZ
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 CALLE ORQUIDEA APT DO26
Mailing Address - Street 2:PARQUE TERRANOVA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5440
Mailing Address - Country:US
Mailing Address - Phone:787-457-9188
Mailing Address - Fax:787-279-5757
Practice Address - Street 1:1 CALLE ORQUIDEA APT DO26
Practice Address - Street 2:PARQUE TERRANOVA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5440
Practice Address - Country:US
Practice Address - Phone:787-457-9188
Practice Address - Fax:787-279-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9860173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR89489Medicare ID - Type Unspecified