Provider Demographics
NPI:1518338185
Name:PINEIRO CEPEDA, CARMEN MILAGROS (AUXILIAR DE FARMACIA)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:MILAGROS
Last Name:PINEIRO CEPEDA
Suffix:
Gender:F
Credentials:AUXILIAR DE FARMACIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:K18 CALLE 11
Mailing Address - Street 2:URB LAS CAMPINAS
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-510-4333
Mailing Address - Fax:
Practice Address - Street 1:CARR 931 KM 2.0
Practice Address - Street 2:BO. NAVARRO
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0000
Practice Address - Country:US
Practice Address - Phone:787-687-2584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2012183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2012OtherTECNICO DE FARMACIA