Provider Demographics
NPI:1205475282
Name:SEGARRA, WINEL AMAURY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WINEL
Middle Name:AMAURY
Last Name:SEGARRA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 SUITE 6
Mailing Address - Street 2:LUIS MUNOZ RIVERA
Mailing Address - City:GUAYANILLA P R
Mailing Address - State:PR
Mailing Address - Zip Code:00656
Mailing Address - Country:US
Mailing Address - Phone:787-381-2477
Mailing Address - Fax:787-835-5927
Practice Address - Street 1:268 SUITE 6
Practice Address - Street 2:LUIS MUNOZ RIVERA
Practice Address - City:GUAYANILLA P R
Practice Address - State:PR
Practice Address - Zip Code:00656
Practice Address - Country:US
Practice Address - Phone:787-835-3020
Practice Address - Fax:787-835-5927
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist