Provider Demographics
NPI:1285169409
Name:SANCHEZ, JORGE (RN BSN)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B10 CALLE DALI
Mailing Address - Street 2:QUINTAS DE SAN LUIS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7602
Mailing Address - Country:US
Mailing Address - Phone:787-599-3501
Mailing Address - Fax:
Practice Address - Street 1:B10 CALLE DALI
Practice Address - Street 2:QUINTAS DE SAN LUIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7602
Practice Address - Country:US
Practice Address - Phone:787-599-3501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR76803G163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse