Individual provider Active NPI

Gustavo R Sanchez, MD

  • Obstetrics & Gynecology Physician
  • Guayama, PR
National Provider Identifier
1407903917
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
07210 Issued in PR
Practice address
23 Oeste Calle Baldorioty
Guayama, PR 00784
Phone
(787) 864-4191
Fax
(787) 866-8171
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 07210 PR Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 07210 PR

Addresses

Primary practice location

23 Oeste Calle Baldorioty
Guayama, PR 00784

Mailing address

23 Calle Baldorioty W
Box 2159
Guayama, PR 00784-5338
Phone (787) 864-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000434 PR Practitioner - Obstetrics/GynecologyPractitioner - Urology 8224285606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Urology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Calle Baldorioty W
Guayama, PR 00784-5338
Phone (787) 864-4191

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7210PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gustavo R. Sanchez MD, Facog CSP CurrentSince Jul 6, 2016 Accepting new patients
Hospital Menonita Guayama Inc Past Accepting new patients
Hospital Menonita Ponce Inc Past Accepting new patients

Locations

23 Calle Baldorioty W
#2159
Guayama, PR 00784

23 Calle Baldorioty W
Guayama, PR 00784
Phone (787) 864-4191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1407903917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE BALDORIOTY W",
            "address_2": "BOX 2159",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845338",
            "telephone_number": "787-864-4191",
            "fax_number": "787-866-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OESTE CALLE BALDORIOTY",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4191",
            "fax_number": "787-866-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "GUSTAVO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "07210",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PR",
            "license": "07210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.