1649342569 NPI number — MRS. YENITZA RAMIREZ PHARMACY THECHICIAN

Table of content: MRS. YENITZA RAMIREZ PHARMACY THECHICIAN (NPI 1649342569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649342569 NPI number — MRS. YENITZA RAMIREZ PHARMACY THECHICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ
Provider First Name:
YENITZA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMACY THECHICIAN
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:
1649342569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARR 486 KM 14.5 INT.
Provider Second Line Business Mailing Address:
HC02 BOX 8033-B
Provider Business Mailing Address City Name:
CAMUY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00627-9121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-414-5533
Provider Business Mailing Address Fax Number:
787-898-7999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 486 KM 14.5 INT.
Provider Second Line Business Practice Location Address:
HC02 BOX 8033-B
Provider Business Practice Location Address City Name:
CAMUY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00627-9121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-414-5533
Provider Business Practice Location Address Fax Number:
787-898-7999
Provider Enumeration Date:
11/15/2006

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:  6058 , 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)