Provider Demographics
NPI:1700097342
Name:CARDONA, MARITZA (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARITZA
Middle Name:
Last Name:CARDONA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 AVE LUIS VIGOREAUX
Mailing Address - Street 2:COND. SANTA ANA APT. 2F
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2506
Mailing Address - Country:US
Mailing Address - Phone:787-781-5772
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS
Practice Address - Street 2:8TH FLOOR CARDIOVASCULAR CENTER,MEDICAL CENTER
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-759-9595
Practice Address - Fax:787-767-4798
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist