Provider Demographics
NPI:1033739172
Name:SANCHEZ CRUZ, MARIBELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIBELLE
Middle Name:
Last Name:SANCHEZ CRUZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SW MILBURN CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-5501
Mailing Address - Country:US
Mailing Address - Phone:787-586-3137
Mailing Address - Fax:
Practice Address - Street 1:2873 SW PORT ST LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2884
Practice Address - Country:US
Practice Address - Phone:772-344-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-18
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist