Provider Demographics
NPI:1720372329
Name:GUZMAN, NOEMI (RPH)
Entity Type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:GUZMAN
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 1:500 STREET 1
Mailing Address - Street 2:ALTOS DE LA FUENTE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-286-8242
Mailing Address - Fax:787-286-8249
Practice Address - Street 1:500 CARR 1
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-7329
Practice Address - Country:US
Practice Address - Phone:787-286-8242
Practice Address - Fax:787-286-8249
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist