Provider Demographics
NPI:1891192738
Name:SANCHEZ, JOSE LUIS (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:LUIS
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 1:184 CARR 2
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1860
Mailing Address - Country:US
Mailing Address - Phone:787-705-6204
Mailing Address - Fax:
Practice Address - Street 1:184 CARR 2
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1860
Practice Address - Country:US
Practice Address - Phone:787-705-6204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist