Provider Demographics
NPI:1033601893
Name:GONZALEZ GORRITZ, NAIOMI (PHARM D)
Entity Type:Individual
Prefix:
First Name:NAIOMI
Middle Name:
Last Name:GONZALEZ GORRITZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB COUNTRY CLUB
Mailing Address - Street 2:JF 21 CALLE 231
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982
Mailing Address - Country:US
Mailing Address - Phone:787-460-6015
Mailing Address - Fax:
Practice Address - Street 1:400 MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3310
Practice Address - Country:US
Practice Address - Phone:787-296-8461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist