Provider Demographics
NPI:1134259401
Name:OSORIO, ARIANA (PHARMACY TECH)
Entity type:Individual
Prefix:MRS
First Name:ARIANA
Middle Name:
Last Name:OSORIO
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CALLE NOYA HERNANDEZ E
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4142
Mailing Address - Country:US
Mailing Address - Phone:787-852-4180
Mailing Address - Fax:787-285-4055
Practice Address - Street 1:STREET NOYA AND HERNANDEZ #2
Practice Address - Street 2:FARMACIA MARISEL #1
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:787-852-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4737183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician