Provider Demographics
NPI:1922647767
Name:FEBLES, ANGELA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:FEBLES
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 1:86 PASEO HERRADURA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6068
Mailing Address - Country:US
Mailing Address - Phone:787-567-0114
Mailing Address - Fax:
Practice Address - Street 1:FARMACIAS CARIDAD
Practice Address - Street 2:310 LOMAS VERDES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-740-7000
Practice Address - Fax:787-789-3232
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3721OtherPHARMACIST LICENSE
PR51351OtherREGISTRY CERTIFICATE