Provider Demographics
NPI:1447358544
Name:SANCHEZ, IVONNE E (TECHNICIAN)
Entity type:Individual
Prefix:
First Name:IVONNE
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9825
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-9710
Mailing Address - Country:US
Mailing Address - Phone:787-893-0370
Mailing Address - Fax:
Practice Address - Street 1:A8 CALLE 1
Practice Address - Street 2:URB. JARDINES YABUCOA
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-893-6709
Practice Address - Fax:787-266-6505
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3974183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3974OtherTECHNICIAN