1730308891 NPI number — ZORAIDA MARRERO MELENDEZ

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730308891 NPI number — ZORAIDA MARRERO MELENDEZ

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MELENDEZ

Provider First Name:

ZORAIDA

Provider Middle Name:

MARRERO

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

MELENDEZ MARRERO

Provider Other First Name:

ZORAIDA

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

RPH

Provider Other Last Name Type Code:

5

NPI Number:

1730308891

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

01/16/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 351

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BARCELONETA

Provider Business Mailing Address State Name:

PR

Provider Business Mailing Address Postal Code:

00617-0351

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

939-438-5477

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

88 CARR 2 # CVS07967

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

MANATI

Provider Business Practice Location Address State Name:

PR

Provider Business Practice Location Address Postal Code:

00674-5469

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

787-854-8450

Provider Business Practice Location Address Fax Number:

787-854-8459

Provider Enumeration Date:

04/25/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 183500000X , with the licence number:  003473 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1319410 . This is a "CVS STAFF PHARMACIST" identifier . This identifiers is of the category "OTHER".
• Identifier: 801745930 . This is a "RCM UPR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 0000099146 . This is a "GOOD STANDING" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 0362 . This is a "PR PHARMACY BOARD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 1441754 . This is a "NABP" identifier . This identifiers is of the category "OTHER".
• Identifier: 51533 . This is a "ORCPS VACCINE ADMINISTRATION" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 001837407 . This is a "66-0232687WALGREEN OF PUERTO RICO INC." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 333439 . This is a "NABP" identifier . This identifiers is of the category "OTHER".
• Identifier: 003473 . This is a "COLEGIO DE FARMCEUTICOS DE PUERTO RICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 051098 . This is a "HEALTH PROF REG" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: RPT78982 . This is a "LIICENSE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".