Provider Demographics
NPI:1932327764
Name:JOSEPH, SABINE
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:JOSEPH
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 1:168 A15 CALLE 436
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-3003
Mailing Address - Country:US
Mailing Address - Phone:787-757-4698
Mailing Address - Fax:
Practice Address - Street 1:AVE CAMPO RICO
Practice Address - Street 2:URB COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-3003
Practice Address - Country:US
Practice Address - Phone:787-752-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005255183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician