Provider Demographics
NPI:1194223503
Name:VIGOREAUX, JANICE ANNETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:ANNETTE
Last Name:VIGOREAUX
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 1:32 CALLE M RIVERA FERRER
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-4609
Mailing Address - Country:US
Mailing Address - Phone:787-403-1878
Mailing Address - Fax:
Practice Address - Street 1:32 CALLE M RIVERA FERRER
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-4609
Practice Address - Country:US
Practice Address - Phone:787-403-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist