| Doctor Name: | DR. SALLY PRIESTER |
| NPI Number: | 1124104260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16480 |
| Business Practice Address: | 29 Calle Washington Ste 308 29 Washington St. Suite 308 San Juan, PR - 009071509 |
| Business Phone Number: | 3057463073 |
| Business Fax Number: | |
| Mailing Address: | 29 Calle Washington Ste 308, Ashford Medical Center SAN JUAN |
| State: | PR |
| Postal Code: | 009071509 |
| Phone Number: | 3057463073 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |