Provider Demographics
NPI:1306170493
Name:BELTRE SANCHEZ, ARISLEIDA K (MD)
Entity type:Individual
Prefix:MISS
First Name:ARISLEIDA
Middle Name:K
Last Name:BELTRE SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 CALLE BALLENA
Mailing Address - Street 2:URBANIZACION BRISAS DE MAR CHIQUITA
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-9436
Mailing Address - Country:US
Mailing Address - Phone:787-467-6789
Mailing Address - Fax:
Practice Address - Street 1:188 CALLE BALLENA
Practice Address - Street 2:URBANIZACION BRISAS DE MAR CHIQUITA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-9436
Practice Address - Country:US
Practice Address - Phone:787-467-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17741208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7874676789Medicaid
PR7874676789Medicare Oscar/Certification
PR7874676789Medicare NSC
7877875792Medicare PIN
PR7874676789Medicare UPIN