Provider Demographics
NPI:1437144425
Name:SANCHEZ, GEANNETTE (PTH)
Entity Type:Individual
Prefix:MRS
First Name:GEANNETTE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:BAJADERO
Mailing Address - State:PR
Mailing Address - Zip Code:00616-0292
Mailing Address - Country:US
Mailing Address - Phone:787-881-7744
Mailing Address - Fax:787-846-3153
Practice Address - Street 1:9 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-2712
Practice Address - Country:US
Practice Address - Phone:787-846-3474
Practice Address - Fax:787-846-3153
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2038183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician