Provider Demographics
NPI:1619098761
Name:RESTO, CARMEN PILAR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:PILAR
Last Name:RESTO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 CAMINO DE LOS GIRASOLES
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-5238
Mailing Address - Country:US
Mailing Address - Phone:787-410-3306
Mailing Address - Fax:787-999-4052
Practice Address - Street 1:BO. MONACILLO CENTRO MEDICO
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00919-0000
Practice Address - Country:US
Practice Address - Phone:787-763-4149
Practice Address - Fax:787-999-4052
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist