Provider Demographics
NPI:1023367042
Name:CARDONA, MARIANGELI (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:MRS
First Name:MARIANGELI
Middle Name:
Last Name:CARDONA
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CALLE SAN JOSE N
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-2429
Mailing Address - Country:US
Mailing Address - Phone:787-737-3355
Mailing Address - Fax:787-737-3355
Practice Address - Street 1:4 CALLE SAN JOSE N
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-2429
Practice Address - Country:US
Practice Address - Phone:787-737-3355
Practice Address - Fax:787-737-3355
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7355183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician