Provider Demographics
NPI:1497879696
Name:ABRIL, EVANGELISTA
Entity Type:Individual
Prefix:MRS
First Name:EVANGELISTA
Middle Name:
Last Name:ABRIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A3 CALLE 6
Mailing Address - Street 2:CAMPO VERDE
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8914
Mailing Address - Country:US
Mailing Address - Phone:787-362-7317
Mailing Address - Fax:787-786-4564
Practice Address - Street 1:A3 CALLE 6
Practice Address - Street 2:CAMPO VERDE
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8914
Practice Address - Country:US
Practice Address - Phone:787-362-7317
Practice Address - Fax:787-786-4564
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003007183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician