Basic Information
| Provider Information | |||||||||
| NPI: | 1639593585 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | USECHE | ||||||||
| FirstName: | HECTOR | ||||||||
| MiddleName: | DANIEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 961 CALLE SANTO DOMINGO APT C | ||||||||
| Address2: | URB. LAS AMERICAS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009212333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4357645239 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6409 N QUAIL HOLLOW RD | ||||||||
| Address2: | CPS PUERTO RICO INC | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381201414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874740333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2014 | ||||||||
| LastUpdateDate: | 02/13/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 006001 | PR | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.