Provider Demographics
NPI:1326178567
Name:PEREZ-VARGAS, NORMA IRIS (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:IRIS
Last Name:PEREZ-VARGAS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 CALLE POST S
Mailing Address - Street 2:BELMONTE CENTRO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-2389
Mailing Address - Country:US
Mailing Address - Phone:787-265-3628
Mailing Address - Fax:787-805-3875
Practice Address - Street 1:345 CALLE POST S
Practice Address - Street 2:BELMONTE CENTRO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-2389
Practice Address - Country:US
Practice Address - Phone:787-265-3628
Practice Address - Fax:787-805-3875
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist