Provider Demographics
NPI:1912059874
Name:AYENDE, SAILEE (PHD)
Entity Type:Individual
Prefix:MS
First Name:SAILEE
Middle Name:
Last Name:AYENDE
Suffix:
Gender:F
Credentials:PHD
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 142902
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2902
Mailing Address - Country:US
Mailing Address - Phone:787-650-6792
Mailing Address - Fax:787-879-5058
Practice Address - Street 1:BO. JAREALITOS #62 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-879-5058
Practice Address - Fax:787-879-5058
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR05052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist