Provider Demographics
NPI:1396291910
Name:SANCHEZ, FLORITA
Entity type:Individual
Prefix:
First Name:FLORITA
Middle Name:
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:PO BOX 345
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0345
Mailing Address - Country:US
Mailing Address - Phone:787-422-6240
Mailing Address - Fax:787-799-6308
Practice Address - Street 1:AQ28 AVE LAUREL
Practice Address - Street 2:URB SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4725
Practice Address - Country:US
Practice Address - Phone:787-422-6240
Practice Address - Fax:787-799-6308
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1255880084Medicaid