Provider Demographics
NPI:1760690259
Name:FERRER, ELISBEL (RPH)
Entity Type:Individual
Prefix:
First Name:ELISBEL
Middle Name:
Last Name:FERRER
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:URBANIZACION LAS CASCADAS #1580 CALLE AGUAS BUENAS
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-633-4520
Mailing Address - Fax:787-292-0260
Practice Address - Street 1:URBANIZACION LAS CASCADAS #1580 CALLE AGUAS BUENAS
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-633-4520
Practice Address - Fax:787-292-0260
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist