Provider Demographics
NPI:1992831663
Name:GONZALEZ, MARGARITA COLON (TEC DE FARMACIA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:COLON
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:TEC DE FARMACIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2266
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-2241
Mailing Address - Country:US
Mailing Address - Phone:787-824-0512
Mailing Address - Fax:
Practice Address - Street 1:APARTADO- 2266
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-2241
Practice Address - Country:US
Practice Address - Phone:787-824-0512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001121183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician