Provider Demographics
NPI:1457644148
Name:MOJICA, MARIBEL (BS, PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARIBEL
Middle Name:
Last Name:MOJICA
Suffix:
Gender:F
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 ERNESTO CARRASQUILLO
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:787-893-4430
Mailing Address - Fax:787-893-4415
Practice Address - Street 1:302 CARR. ERNESTO CARRASQUILLO
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-893-4430
Practice Address - Fax:787-893-4415
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist