Provider Demographics
NPI:1649342569
Name:RAMIREZ, YENITZA (PHARMACY THECHICIAN)
Entity type:Individual
Prefix:MRS
First Name:YENITZA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARMACY THECHICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 486 KM 14.5 INT.
Mailing Address - Street 2:HC02 BOX 8033-B
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9121
Mailing Address - Country:US
Mailing Address - Phone:787-414-5533
Mailing Address - Fax:787-898-7999
Practice Address - Street 1:CARR 486 KM 14.5 INT.
Practice Address - Street 2:HC02 BOX 8033-B
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9121
Practice Address - Country:US
Practice Address - Phone:787-414-5533
Practice Address - Fax:787-898-7999
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6058183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRYENITZAMedicare UPIN