Provider Demographics
NPI:1194423376
Name:SANCHEZ REYES, ISMAEL (PHARMD)
Entity type:Individual
Prefix:
First Name:ISMAEL
Middle Name:
Last Name:SANCHEZ REYES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB MONTE CASINO A 10
Mailing Address - Street 2:CALLE ALMENDRO
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-240-4769
Mailing Address - Fax:
Practice Address - Street 1:1 REXVILLE PLZ STE 13
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-4156
Practice Address - Country:US
Practice Address - Phone:787-797-2950
Practice Address - Fax:787-797-2955
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist