1558584599 NPI number — LOURDES IVETTE TROCHE PHARMACY TECHNICIAN

Table of content: LOURDES IVETTE TROCHE PHARMACY TECHNICIAN (NPI 1558584599)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558584599 NPI number — LOURDES IVETTE TROCHE PHARMACY TECHNICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROCHE
Provider First Name:
LOURDES
Provider Middle Name:
IVETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACY TECHNICIAN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558584599
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9031
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00988-9031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-752-6246
Provider Business Mailing Address Fax Number:
787-762-4070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MONSERRATE AVE.
Provider Second Line Business Practice Location Address:
MONSERRATE SHOPPING CENTER,
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-752-6246
Provider Business Practice Location Address Fax Number:
787-762-4070
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183700000X , with the licence number:  002733 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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