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Individual

DR. MARIO EDSIQUIO SANCHEZ DEL CAMPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
AVE. LUIS MUNOZ MARIN, URB. MARIOLGA, CAGUAS, PR 00625
(787) 653-3434
Mailing address
135 LES JARDINS, TRUJILLO ALTO, PR 00976-2212
(787) 748-6614

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13241
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9-02609A
BLUE SHIELD PROVIDER
PR
Enumeration date
05/23/2006
Last updated
06/12/2009
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