Provider Demographics
NPI:1508048505
Name:HAYES, JOHN THOMAS III (RPH, MBA, JD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:HAYES
Suffix:III
Gender:M
Credentials:RPH, MBA, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:659 CALLE MCKINLEY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MIRAMAR
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3228
Mailing Address - Country:US
Mailing Address - Phone:787-365-9090
Mailing Address - Fax:787-722-1807
Practice Address - Street 1:659 MCKINLEY STREET
Practice Address - Street 2:SUITE 10
Practice Address - City:MIRAMAR
Practice Address - State:PR
Practice Address - Zip Code:00907-3228
Practice Address - Country:US
Practice Address - Phone:787-365-9090
Practice Address - Fax:787-722-1807
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171R00000X, 173000000X
PR5044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No171R00000XOther Service ProvidersInterpreter
No173000000XOther Service ProvidersLegal Medicine