| Doctor Name: | DR. IDA S SANCHEZ-PICA |
| NPI Number: | 1063402576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 3214 |
| Business Practice Address: | 9501 Farrell Rd Fort Belvoir, VA - 220605901 |
| Business Phone Number: | 7038050536 |
| Business Fax Number: | 7038050512 |
| Mailing Address: | 2501 N Stevens St, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223111510 |
| Phone Number: | 7036711147 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |