Provider Demographics
NPI:1730719725
Name:CHAVES, SONIA I (RPH)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:I
Last Name:CHAVES
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 85
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0085
Mailing Address - Country:US
Mailing Address - Phone:787-477-6306
Mailing Address - Fax:
Practice Address - Street 1:27 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-3013
Practice Address - Country:US
Practice Address - Phone:787-872-4545
Practice Address - Fax:787-872-4580
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist