Provider Demographics
NPI:1437707593
Name:BELMONTES, REBECCA ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:BELMONTES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 SKY HAWK AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-6822
Mailing Address - Country:US
Mailing Address - Phone:915-328-6040
Mailing Address - Fax:
Practice Address - Street 1:8045 N LOOP DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-3227
Practice Address - Country:US
Practice Address - Phone:915-592-5849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist