Provider Demographics
NPI:1649403387
Name:DUENO, MARIA D (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:D
Last Name:DUENO
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:PO BOX 361026
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-1026
Mailing Address - Country:US
Mailing Address - Phone:787-432-8282
Mailing Address - Fax:787-792-9071
Practice Address - Street 1:586 CALLE NAPOLES
Practice Address - Street 2:VILLA CAPRI ESQUINA 65TH INFANTERIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-4604
Practice Address - Country:US
Practice Address - Phone:787-755-2240
Practice Address - Fax:787-760-0580
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist