Provider Demographics
NPI:1063959138
Name:SANCHEZ-PABON, GISELLE M (PHARM D)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:M
Last Name:SANCHEZ-PABON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 RAMAL 842 APT 69
Mailing Address - Street 2:PALMARES DE MONTEVERDE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3904
Mailing Address - Country:US
Mailing Address - Phone:787-567-9811
Mailing Address - Fax:
Practice Address - Street 1:2505 CARR 841 # DF003921
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3841
Practice Address - Country:US
Practice Address - Phone:787-287-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist