Provider Demographics
NPI:1558769653
Name:MUNOZ ROBLEDO, LYN GABRIEL (PHARM D, MS)
Entity Type:Individual
Prefix:DR
First Name:LYN
Middle Name:GABRIEL
Last Name:MUNOZ ROBLEDO
Suffix:
Gender:M
Credentials:PHARM D, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 MANSIONES DEL GOLF
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-235-1548
Mailing Address - Fax:
Practice Address - Street 1:237 MANSIONES DEL GOLF
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-235-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist