Provider Demographics
NPI:1043411853
Name:PADILLA, SONIA M (PH)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:M
Last Name:PADILLA
Suffix:
Gender:F
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CALLE PRINCESA CC47
Mailing Address - Street 2:ESTANCIAS DE LA FUENTE
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-379-1765
Mailing Address - Fax:787-261-5040
Practice Address - Street 1:CALLE PRINCESA CC47
Practice Address - Street 2:ESTANCIAS DE LA FUENTE
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-379-1765
Practice Address - Fax:787-261-5040
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist