Provider Demographics
NPI:1013002351
Name:LAGUNA, MARITZA (RPH)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:LAGUNA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F41 CALLE 9
Mailing Address - Street 2:URB. SANTA JUANA III
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2025
Mailing Address - Country:US
Mailing Address - Phone:787-258-9547
Mailing Address - Fax:787-258-8223
Practice Address - Street 1:49 RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3510
Practice Address - Country:US
Practice Address - Phone:787-744-1441
Practice Address - Fax:787-258-8223
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist