Provider Demographics
NPI:1508227299
Name:FEBUS NIEVES, MARILYN ENID (PHARMACY TECNICIAN)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:ENID
Last Name:FEBUS NIEVES
Suffix:
Gender:F
Credentials:PHARMACY TECNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 73 BOX 5773
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9186
Mailing Address - Country:US
Mailing Address - Phone:787-368-4247
Mailing Address - Fax:
Practice Address - Street 1:246 CALLE COMERIO
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5358
Practice Address - Country:US
Practice Address - Phone:787-785-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1589183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician