Provider Demographics
NPI:1497822936
Name:MARANTES, DEBORAH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:MARANTES
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:HC59 BOX 6166
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9656
Mailing Address - Country:US
Mailing Address - Phone:787-252-3066
Mailing Address - Fax:
Practice Address - Street 1:#1 JUAN RODRIGUEZ ST
Practice Address - Street 2:
Practice Address - City:POBLADO ROSARIO
Practice Address - State:PR
Practice Address - Zip Code:00636
Practice Address - Country:US
Practice Address - Phone:787-805-6210
Practice Address - Fax:787-805-6210
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist