Provider Demographics
NPI:1407233422
Name:LOPEZ-CANDALES, HILDA L (RPH)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:L
Last Name:LOPEZ-CANDALES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:L
Other - Last Name:LOPEZ ARROYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:650 CALLE S CUEVAS BUSTAMANTE APT 811
Mailing Address - Street 2:COND. SEGOVIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:650 CALLE S CUEVAS BUSTAMANTE APT 811
Practice Address - Street 2:COND. SEGOVIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3815
Practice Address - Country:US
Practice Address - Phone:412-334-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist