Provider Demographics
NPI:1164182713
Name:REYES-MUNOZ, NILMARYS (PHARMD)
Entity Type:Individual
Prefix:
First Name:NILMARYS
Middle Name:
Last Name:REYES-MUNOZ
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 1:1050 AVE LAS PALMAS APT 1510
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-5219
Mailing Address - Country:US
Mailing Address - Phone:787-390-0139
Mailing Address - Fax:
Practice Address - Street 1:5984 AVE ISLA VERDE
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-5776
Practice Address - Country:US
Practice Address - Phone:787-982-0390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist