Provider Demographics
NPI:1205414703
Name:CURBELO, DILLIAN MARIE
Entity Type:Individual
Prefix:
First Name:DILLIAN
Middle Name:MARIE
Last Name:CURBELO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 11752
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9671
Mailing Address - Country:US
Mailing Address - Phone:787-356-3604
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 77.6
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0061
Practice Address - Country:US
Practice Address - Phone:787-880-4240
Practice Address - Fax:787-880-2872
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006374183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR006374OtherHEALTH PROFESSIONAL REGISTRY