Provider Demographics
NPI:1134560188
Name:VELAZQUEZ, EDNA DEL PILAR (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:EDNA
Middle Name:DEL PILAR
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 CALLE 7
Mailing Address - Street 2:JOSE S QUINONES
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5659
Mailing Address - Country:US
Mailing Address - Phone:787-518-0244
Mailing Address - Fax:
Practice Address - Street 1:184 CALLE 7
Practice Address - Street 2:JOSE S QUINONES
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5659
Practice Address - Country:US
Practice Address - Phone:787-518-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-07
Last Update Date:2013-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2924183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician