Provider Demographics
NPI:1225199250
Name:MARIN, MARIA PILAR
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PILAR
Last Name:MARIN
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:EDIFICIO #3 APARTAMENTO 6K
Mailing Address - Street 2:LAGUNA GARDENS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-791-8302
Mailing Address - Fax:787-777-0409
Practice Address - Street 1:CONDOMINIO LAGUNA GARDENS
Practice Address - Street 2:EDIFICIO 3 APARTAMENTO 6K
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-791-8302
Practice Address - Fax:787-777-0409
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist