Active NPI
Juan M Sanchez, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1417064874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10370
- Practice address
- 262 Ca II Convento
Edf El Angel Suite 262
San Juan, PR 00926 - Phone
- (787) 760-6604
- Fax
- (787) 292-0130
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 10370 | PR | |
| Pediatrics Physician | 208000000X | 10370 | PR | Primary |
Addresses
Primary practice location
262 Ca II Convento
Edf El Angel Suite 262
San Juan, PR 00926
Mailing address
262 Ca II Convento
Edf El Angel Suite 262
San Juan, PR 00926
Phone (787) 760-6604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10370 | Other | PR | LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10370 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1417064874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 CA II CONVENTO",
"address_2": "EDF EL ANGEL SUITE 262",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-6604",
"fax_number": "787-292-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 CA II CONVENTO",
"address_2": "EDF EL ANGEL SUITE 262",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-6604",
"fax_number": "787-292-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "JUAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PR",
"license": "10370",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "10370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "10370",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.