Provider Demographics
NPI:1639593585
Name:USECHE, HECTOR DANIEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:DANIEL
Last Name:USECHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 CALLE SANTO DOMINGO APT C
Mailing Address - Street 2:URB. LAS AMERICAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2333
Mailing Address - Country:US
Mailing Address - Phone:435-764-5239
Mailing Address - Fax:
Practice Address - Street 1:6409 N QUAIL HOLLOW RD
Practice Address - Street 2:CPS PUERTO RICO INC
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1414
Practice Address - Country:US
Practice Address - Phone:787-474-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist