Provider Demographics
NPI:1891864732
Name:BARRETO, MARILYN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:
Last Name:BARRETO
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:ST 36 URB. MUNOZ RIVERA
Mailing Address - Street 2:SONATA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-231-0595
Mailing Address - Fax:
Practice Address - Street 1:ST 36 MUNOZ RIVERA
Practice Address - Street 2:SONATA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-231-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist