Provider Demographics
NPI:1699923482
Name:SANCHEZ-PEREZ, LILIA R (MD)
Entity type:Individual
Prefix:
First Name:LILIA
Middle Name:R
Last Name:SANCHEZ-PEREZ
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 1:14 COND MALAGA PARK
Mailing Address - Street 2:APT. 77
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9703
Mailing Address - Country:US
Mailing Address - Phone:787-613-5742
Mailing Address - Fax:
Practice Address - Street 1:COND MALAGA PARK
Practice Address - Street 2:APT. 7G
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-613-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17579207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRFV040ZMedicare PIN