MEDICARE: CIDMARIE SANCHEZ SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	015624	PR

General Provider Information

NPI Number	:	1912706060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIDMARIE SANCHEZ SANCHEZ

Provider Business Mailing Address
First Line	:	PO BOX 3064
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 3005
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-9998
Country	:	US
Telephone Number	:	787-896-6340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

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Directions to “ CIDMARIE SANCHEZ SANCHEZ ” Practice Location

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