Provider Demographics
NPI:1063569739
Name:SANCHEZ, RITA ILUMINADA (MD)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:ILUMINADA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3 MERITORIA DR
Mailing Address - Street 2:
Mailing Address - City:EAST WILLISTON
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2037
Mailing Address - Country:US
Mailing Address - Phone:516-508-1351
Mailing Address - Fax:516-307-3396
Practice Address - Street 1:3 MERITORIA DR
Practice Address - Street 2:
Practice Address - City:EAST WILLISTON
Practice Address - State:NY
Practice Address - Zip Code:11596-2037
Practice Address - Country:US
Practice Address - Phone:516-508-1351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233996-1261QA1903X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical