Provider Demographics
NPI:1598384802
Name:SEIN, MARIA PROVIDENCIA (RPH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PROVIDENCIA
Last Name:SEIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9022877
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-2877
Mailing Address - Country:US
Mailing Address - Phone:787-599-9899
Mailing Address - Fax:
Practice Address - Street 1:224 AVE MANUEL DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3559
Practice Address - Country:US
Practice Address - Phone:787-753-0794
Practice Address - Fax:787-772-4524
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist