Provider Demographics
NPI:1689716318
Name:BOSQUES, SILMARIE (RPH)
Entity Type:Individual
Prefix:
First Name:SILMARIE
Middle Name:
Last Name:BOSQUES
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:LOS FAROLES 500 CARR. 861 BOX 185
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-999-5208
Mailing Address - Fax:
Practice Address - Street 1:1210 AVE AMERICO MIRANDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1620
Practice Address - Country:US
Practice Address - Phone:787-783-8579
Practice Address - Fax:787-783-2951
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist