Provider Demographics
NPI:1104378876
Name:CORDERO SANCHEZ, BRENDA ENID (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ENID
Last Name:CORDERO SANCHEZ
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:HC 3 BOX 32654
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9825
Mailing Address - Country:US
Mailing Address - Phone:787-560-6554
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 32654
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9825
Practice Address - Country:US
Practice Address - Phone:787-560-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist