Provider Demographics
NPI:1013039148
Name:BOSQUES-MORALES, GUILLERMO JAVIER (RPH)
Entity Type:Individual
Prefix:MR
First Name:GUILLERMO
Middle Name:JAVIER
Last Name:BOSQUES-MORALES
Suffix:
Gender:M
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:MANSIONES CIUDAD JARDIN
Mailing Address - Street 2:STREET PAMPLONA # 501
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1422
Mailing Address - Country:US
Mailing Address - Phone:787-703-1798
Mailing Address - Fax:
Practice Address - Street 1:MANSIONES CIUDAD JARDIN
Practice Address - Street 2:STREET PAMPLONA # 501
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1422
Practice Address - Country:US
Practice Address - Phone:787-703-1798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist