1326104811 NPI number — MISS ISABEL GUZMAN PHARMACY TECHNICIAN

Table of content: MISS ISABEL GUZMAN PHARMACY TECHNICIAN (NPI 1326104811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326104811 NPI number — MISS ISABEL GUZMAN PHARMACY TECHNICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUZMAN
Provider First Name:
ISABEL
Provider Middle Name:
Provider Name Prefix Text:
MISS
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:
1326104811
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:
CARR 189 KM 11.7
Provider Second Line Business Mailing Address:
BUZON C-15 BO CANTA GALLO
Provider Business Mailing Address City Name:
JUNCOS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-734-2338
Provider Business Mailing Address Fax Number:
787-744-3397

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 172 ESQ ASTURIAS
Provider Second Line Business Practice Location Address:
3RA SECC VILLA DEL REY
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-746-5952
Provider Business Practice Location Address Fax Number:
787-744-3397
Provider Enumeration Date:
12/29/2006

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:  5471 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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