Provider Demographics
NPI:1851685424
Name:CARRILLO, LIZBETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LIZBETH
Middle Name:
Last Name:CARRILLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40243 PR 2 BO COCOS
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678
Mailing Address - Country:US
Mailing Address - Phone:787-589-3277
Mailing Address - Fax:787-589-7369
Practice Address - Street 1:CARRETERA #2 KM98.9 BARRIO COCOS
Practice Address - Street 2:
Practice Address - City:QUEBRDILLAS
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-615-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5201183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist