Provider Demographics
NPI:1811021389
Name:CHIRINO, DALIA (RPH)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:CHIRINO
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:H21 VIA PANORAMICA
Mailing Address - Street 2:URB. LA VISTA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4476
Mailing Address - Country:US
Mailing Address - Phone:787-752-9181
Mailing Address - Fax:787-722-3738
Practice Address - Street 1:1000 LA FUENTE
Practice Address - Street 2:SHOPPING CETER SUITE 13
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-3828
Practice Address - Country:US
Practice Address - Phone:787-288-3050
Practice Address - Fax:787-288-3355
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4395OtherPHARMACIST LICENSE