Provider Demographics
NPI:1619174836
Name:SANCHEZ, VILMA I
Entity Type:Individual
Prefix:MRS
First Name:VILMA
Middle Name:I
Last Name: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 1:100 4 STREET
Mailing Address - Street 2:FLAMINGO HILLS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-798-8263
Mailing Address - Fax:
Practice Address - Street 1:844 CARR KM3 CUPEY BAYO
Practice Address - Street 2:CAMINO MARIA TERESA JORNET
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-300-5897
Practice Address - Fax:787-300-5897
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist