Healthcare Provider Details

I. General information

NPI: 1922089895
Provider Name (Legal Business Name): CARNEN D SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 CALLE COLON
AGUADA PR
00602-3224
US

IV. Provider business mailing address

228 CALLE COLON
AGUADA PR
00602-3224
US

V. Phone/Fax

Practice location:
  • Phone: 787-868-2135
  • Fax: 787-868-2933
Mailing address:
  • Phone: 787-868-2135
  • Fax: 787-868-2933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3259
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: