Provider Demographics
NPI:1033324389
Name:ANDINO, MONICA Z (RPH)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:Z
Last Name:ANDINO
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:PO BOX 1861
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1861
Mailing Address - Country:US
Mailing Address - Phone:787-789-3137
Mailing Address - Fax:
Practice Address - Street 1:139 CARR 2
Practice Address - Street 2:BO JUAN DOMINGO STE1
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1806
Practice Address - Country:US
Practice Address - Phone:787-782-0728
Practice Address - Fax:787-749-0875
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist