Healthcare Provider Details

I. General information

NPI: 1932095031
Provider Name (Legal Business Name): JONATHAN EMANUEL SANCHEZ PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR 190 AV. ROBERTO SANCHEZ VILELLA
CAROLINA PR
00979
US

IV. Provider business mailing address

COND PORTALES DE PARQUE ESCORIAL 24 BLVD MEDIA LUNA APT 7201
CAROLINA PR
00987-5108
US

V. Phone/Fax

Practice location:
  • Phone: 787-762-1290
  • Fax:
Mailing address:
  • Phone: 787-463-8154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3037
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: