Provider Demographics
NPI:1154487890
Name:ECHEVARRIA, IRMA N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:N
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AVE LA SIERRA APT 185
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4323
Mailing Address - Country:US
Mailing Address - Phone:787-625-4343
Mailing Address - Fax:787-625-4363
Practice Address - Street 1:100 AVE LA SIERRA APT 185
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4323
Practice Address - Country:US
Practice Address - Phone:787-625-4343
Practice Address - Fax:787-625-4363
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist