Provider Demographics
NPI:1346305521
Name:OLMEDA, BRENDA E. RIVERA (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:BRENDA E.
Middle Name:RIVERA
Last Name:OLMEDA
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:URB. QUINTAS REALES
Mailing Address - Street 2:PRINCESA MARGARITA H-3 STREET
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-790-3049
Mailing Address - Fax:787-720-2196
Practice Address - Street 1:7 CALLE MUNOZ RIVERA
Practice Address - Street 2:PUEBLO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5705
Practice Address - Country:US
Practice Address - Phone:787-720-2196
Practice Address - Fax:787-720-2196
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist