Provider Demographics
NPI:1275673386
Name:DINORA SANCHEZ GONZALEZ
Entity Type:Organization
Organization Name:DINORA SANCHEZ GONZALEZ
Other - Org Name:FARMACIA SAN IGNACIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-858-2722
Mailing Address - Street 1:357 JARDIN DE ORQUIDEAS
Mailing Address - Street 2:STE 2 URB JARDINES
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3968
Mailing Address - Country:US
Mailing Address - Phone:787-858-2722
Mailing Address - Fax:787-807-2638
Practice Address - Street 1:357 JARDIN DE ORQUIDEAS
Practice Address - Street 2:STE 2 URB JARDINES
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3968
Practice Address - Country:US
Practice Address - Phone:787-858-2722
Practice Address - Fax:787-807-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR09F15553336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4021161OtherNCPDP PROVIDER IDENTIFICATION NUMBER