Provider Demographics
NPI:1770242505
Name:SANCHEZ, JUAN PABLO (PHARM D)
Entity Type:Individual
Prefix:
First Name:JUAN PABLO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 AVE 65 INFANTERIA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3489
Mailing Address - Country:US
Mailing Address - Phone:787-619-5358
Mailing Address - Fax:
Practice Address - Street 1:1115 AVE 65 INFANTERIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3489
Practice Address - Country:US
Practice Address - Phone:787-777-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist