Provider Demographics
NPI:1003296476
Name:NIEVES CUADRADO, SHEILA ALEXANDRA SR (TECHNICA OF PHARMACY)
Entity Type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:ALEXANDRA
Last Name:NIEVES CUADRADO
Suffix:SR
Gender:F
Credentials:TECHNICA OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 69 BOX 15726
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00956
Mailing Address - Country:UM
Mailing Address - Phone:787-247-0138
Mailing Address - Fax:
Practice Address - Street 1:HC 69 BOX 15726
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-0020
Practice Address - Country:US
Practice Address - Phone:787-247-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10003183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician