Provider Demographics
NPI:1124575030
Name:RIOS-ORTIZ, LOYDA (CPHT)
Entity Type:Individual
Prefix:
First Name:LOYDA
Middle Name:
Last Name:RIOS-ORTIZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:M55 CALLE HUMACAO
Mailing Address - Street 2:VILLA CARMEN
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6100
Mailing Address - Country:US
Mailing Address - Phone:787-949-2640
Mailing Address - Fax:787-744-6889
Practice Address - Street 1:M55 CALLE HUMACAO
Practice Address - Street 2:VILLA CARMEN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6100
Practice Address - Country:US
Practice Address - Phone:787-949-2640
Practice Address - Fax:787-744-6889
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6934183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician