Provider Demographics
NPI:1154455392
Name:ERBA, NOEMI (BSPH)
Entity Type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:ERBA
Suffix:
Gender:F
Credentials:BSPH
Other - Prefix:
Other - First Name:OSVALDO
Other - Middle Name:
Other - Last Name:ALDARONDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSPH
Mailing Address - Street 1:AVENIDA MILTAR 2981
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-830-3189
Mailing Address - Fax:787-830-1573
Practice Address - Street 1:AVENIDA MILTAR 2981
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-830-3189
Practice Address - Fax:787-830-1573
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist