=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396900114
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EDWINA SANCHEZ ARCE PHARM D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2008
-----------------------------------------------------
Last Update Date | 07/21/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | S1 CALLE LEALTAD
-----------------------------------------------------
City | TOA BAJA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00949-4625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-784-1142
-----------------------------------------------------
Fax | 787-784-1155
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | TORREMOLINOS ESTE CALLE D F#9
-----------------------------------------------------
City | GUAYNABO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00969-3732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-671-7584
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835P0018X
-----------------------------------------------------
Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
-----------------------------------------------------
License Number | 2700
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------