Provider Demographics
NPI:1093433732
Name:ROSADO SANCHEZ, NELLYBELL
Entity Type:Individual
Prefix:
First Name:NELLYBELL
Middle Name:
Last Name:ROSADO SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 CARR 2
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5469
Mailing Address - Country:US
Mailing Address - Phone:787-854-8450
Mailing Address - Fax:
Practice Address - Street 1:88 CARR 2
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5469
Practice Address - Country:US
Practice Address - Phone:787-854-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14736183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician