Provider Demographics
NPI:1770640096
Name:ECHEVERRIA, NURI CORALI (PHARMD)
Entity type:Individual
Prefix:
First Name:NURI
Middle Name:CORALI
Last Name:ECHEVERRIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CALLE MUNOZ RIVERA S
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-3925
Mailing Address - Country:US
Mailing Address - Phone:787-736-2771
Mailing Address - Fax:787-736-7101
Practice Address - Street 1:106 CALLE MUNOZ RIVERA S
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-3925
Practice Address - Country:US
Practice Address - Phone:787-736-2771
Practice Address - Fax:787-736-7101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist