Provider Demographics
NPI:1386180016
Name:CURBELO VEGA, DIOREL YARIAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:DIOREL
Middle Name:YARIAN
Last Name:CURBELO VEGA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20521 COLONIAL ISLE DR
Mailing Address - Street 2:APT 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:787-704-9875
Mailing Address - Fax:
Practice Address - Street 1:4600 SUMMERLIN RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3005
Practice Address - Country:US
Practice Address - Phone:239-939-3419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist