Provider Demographics
NPI:1437343860
Name:PLAZA, LYMARI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LYMARI
Middle Name:
Last Name:PLAZA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-1071
Mailing Address - Country:US
Mailing Address - Phone:787-241-8488
Mailing Address - Fax:787-740-1267
Practice Address - Street 1:URB SAN CRISTOBAL M2
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794
Practice Address - Country:US
Practice Address - Phone:787-241-8488
Practice Address - Fax:787-740-1267
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist