Provider Demographics
NPI:1043420417
Name:DONES DE LEON, VIRGEN
Entity Type:Individual
Prefix:MRS
First Name:VIRGEN
Middle Name:
Last Name:DONES DE LEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 7194
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-9725
Mailing Address - Country:US
Mailing Address - Phone:787-676-8622
Mailing Address - Fax:787-734-6767
Practice Address - Street 1:HC 3 BOX 7194
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-9725
Practice Address - Country:US
Practice Address - Phone:787-676-8622
Practice Address - Fax:787-734-6767
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1829431183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician