Provider Demographics
NPI:1356747745
Name:MUNOZ, LORNA MARIELY
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:MARIELY
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#8 CALLE FELIX MORALES
Mailing Address - Street 2:URBANIZACION SAN CRISTOBAL
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794
Mailing Address - Country:US
Mailing Address - Phone:939-258-6652
Mailing Address - Fax:
Practice Address - Street 1:FARMACIA REY #13 NARANJITO SHOPPING VILLAGE
Practice Address - Street 2:CARR 152 KM 12.4 CEDRO ARRIBA
Practice Address - City:NARANJITO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00719
Practice Address - Country:UM
Practice Address - Phone:787-869-4945
Practice Address - Fax:787-869-5591
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9999183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician