Provider Demographics
NPI:1073731634
Name:VIANA, MARIA ESTHER (PH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ESTHER
Last Name:VIANA
Suffix:
Gender:F
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 CALLE FLAMBOYAN
Mailing Address - Street 2:QUINTAS DE CAMPECHE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7161
Mailing Address - Country:US
Mailing Address - Phone:787-276-6158
Mailing Address - Fax:
Practice Address - Street 1:927 CALLE DURBEC
Practice Address - Street 2:COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3344
Practice Address - Country:US
Practice Address - Phone:787-769-5350
Practice Address - Fax:787-276-4670
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist