Provider Demographics
NPI:1457534109
Name:ROGERS SANCHEZ, VIVIAN L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:L
Last Name:ROGERS SANCHEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE F A15
Mailing Address - Street 2:URB JACARANDA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-1604
Mailing Address - Country:US
Mailing Address - Phone:787-409-3011
Mailing Address - Fax:787-844-2101
Practice Address - Street 1:CALLE F A15
Practice Address - Street 2:URB JACARANDA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-1604
Practice Address - Country:US
Practice Address - Phone:787-409-3011
Practice Address - Fax:787-844-2101
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0038671835G0303X, 1835P1200X
PR0037671835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric