Provider Demographics
NPI:1942380365
Name:SANCHEZ PEREZ, JO-AN MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:JO-AN
Middle Name:MARIE
Last Name:SANCHEZ PEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JO-AN
Other - Middle Name:MARIE
Other - Last Name:SANCHEZ PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:PO BOX 360140
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0140
Mailing Address - Country:US
Mailing Address - Phone:787-256-0225
Mailing Address - Fax:787-876-2855
Practice Address - Street 1:PLAZA NORESTE SHOPPING CENTER
Practice Address - Street 2:SUITE #22, VILLAS DE LOIZA
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-0225
Practice Address - Fax:787-876-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice