Provider Demographics
NPI:1568684066
Name:SANCHEZ, MARITZ (RPH)
Entity type:Individual
Prefix:
First Name:MARITZ
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RPH
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 507
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0507
Mailing Address - Country:US
Mailing Address - Phone:787-408-8177
Mailing Address - Fax:787-589-7095
Practice Address - Street 1:CARR NO. 2 KM 129.6
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-8044
Practice Address - Fax:787-882-8005
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3492183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist