Provider Demographics
NPI:1518695139
Name:SUAREZ VERA, ANDREA T (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:T
Last Name:SUAREZ VERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 LUQUILLO STREET
Mailing Address - Street 2:VILLAS DE LA PLAYA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-903-9179
Mailing Address - Fax:
Practice Address - Street 1:#70 AVENUE RIO HONDO
Practice Address - Street 2:WALGREENS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-795-8436
Practice Address - Fax:787-795-8435
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2399183500000X
PR7068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist