Provider Demographics
NPI:1942569926
Name:SANCHEZ, FEDERICO MANUEL (IDC)
Entity type:Individual
Prefix:
First Name:FEDERICO
Middle Name:MANUEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HOSPITAL YOKOSUKA BRANCH CLINIC CHINHAE
Mailing Address - Street 2:
Mailing Address - City:PSC 479 BX 513
Mailing Address - State:FPO-AP
Mailing Address - Zip Code:96269
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL YOKOSUKA
Practice Address - Street 2:
Practice Address - City:PSC 475 BX1
Practice Address - State:FPO-AP
Practice Address - Zip Code:96350
Practice Address - Country:JP
Practice Address - Phone:315-763-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman