Provider Demographics
NPI:1003029984
Name:HERNANDEZ REYES, RAMON (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:HERNANDEZ REYES
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE 794 KM 2.0
Mailing Address - Street 2:PO BOX 270
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-732-7900
Mailing Address - Fax:787-732-6658
Practice Address - Street 1:BO CAGUITAS CENTRO CARR 794 KM 2.0
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-732-7900
Practice Address - Fax:787-732-6658
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist