Healthcare Provider Details

I. General information

NPI: 1053413534
Provider Name (Legal Business Name): LILLIANA SANCHEZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 CALLE J BO PLAYA
SALINAS PR
00751-2869
US

IV. Provider business mailing address

31 CALLE J BO PLAYA
SALINAS PR
00751-2869
US

V. Phone/Fax

Practice location:
  • Phone: 787-824-5355
  • Fax: 787-824-1252
Mailing address:
  • Phone: 787-824-5355
  • Fax: 787-824-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4444
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: