Provider Demographics
NPI:1326362427
Name:PEREZ-MARTINS, SYLVIA L (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:L
Last Name:PEREZ-MARTINS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:L
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:214 ORLANDO ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3346
Mailing Address - Country:US
Mailing Address - Phone:908-337-7718
Mailing Address - Fax:
Practice Address - Street 1:214 ORLANDO ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3346
Practice Address - Country:US
Practice Address - Phone:908-337-7718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02642800183500000X
RIRPH03983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist