Provider Demographics
NPI:1750602587
Name:SANCHEZ, DENISSE L (PT)
Entity type:Individual
Prefix:
First Name:DENISSE
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PT
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 252
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0252
Mailing Address - Country:US
Mailing Address - Phone:787-904-3994
Mailing Address - Fax:787-881-9648
Practice Address - Street 1:STREET #2 KM 65.6
Practice Address - Street 2:SUITE 201
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-881-9282
Practice Address - Fax:787-881-9648
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8262183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician