Provider Demographics
NPI:1982864567
Name:SANCHEZ, SONIA ENID
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:ENID
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:RR 5 BOX 4999
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9788
Mailing Address - Country:US
Mailing Address - Phone:787-730-7839
Mailing Address - Fax:787-730-2255
Practice Address - Street 1:EDIFICIO 1 LOCAL 1 A
Practice Address - Street 2:COMERCIAL BELLA VISTA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-797-2709
Practice Address - Fax:787-730-2255
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005433183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician