Provider Demographics
NPI:1528092988
Name:SANCHEZ, RICARDO ENRIQUE (MD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:ENRIQUE
Last Name:SANCHEZ
Suffix:
Gender:M
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:P.O.BOX 664
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0664
Mailing Address - Country:US
Mailing Address - Phone:787-879-0263
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL C. COLL Y TOSTE AVE.SAN LUIS, CARR 129 KM .9
Practice Address - Street 2:SUIT #116
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-879-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR141882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR546293OtherAUXILIO PLATINO
PR546293OtherEATON
PR100820OtherCRUZ AZUL
PR23044 SAOtherTRIPLE S
PR546293OtherAMERICAN HEALTH
PR132866Medicare UPIN
PR546293OtherEATON