Provider Demographics
NPI:1548553050
Name:SANCHEZ, SURELYS (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:SURELYS
Middle Name:
Last Name:SANCHEZ
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 1:500 AVE COMERIO
Mailing Address - Street 2:PLAZA DAVIDSON
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4060
Mailing Address - Country:US
Mailing Address - Phone:787-795-7224
Mailing Address - Fax:
Practice Address - Street 1:500 AVE COMERIO
Practice Address - Street 2:PLAZA DAVIDSON
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4060
Practice Address - Country:US
Practice Address - Phone:787-795-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist