Provider Demographics
NPI:1790553865
Name:DE JESUS GUTIERREZ, PILAR PAOLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PILAR
Middle Name:PAOLA
Last Name:DE JESUS GUTIERREZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:URBANIZACION VALLE ALTO CALLE D
Mailing Address - Street 2:C4
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736
Mailing Address - Country:US
Mailing Address - Phone:787-225-9191
Mailing Address - Fax:
Practice Address - Street 1:BO CEIBA NORTE CARR 1 KM 24.5
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-705-2239
Practice Address - Fax:888-580-6779
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR006931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist