Provider Demographics
NPI:1780056747
Name:SALABERRIOS, NOELIA (PHARMD)
Entity type:Individual
Prefix:
First Name:NOELIA
Middle Name:
Last Name:SALABERRIOS
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 1:50 CALLE 12
Mailing Address - Street 2:URB. VICTOR ROJAS 2
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3011
Mailing Address - Country:US
Mailing Address - Phone:787-605-0331
Mailing Address - Fax:
Practice Address - Street 1:DE DIEGO EXPRESSWAY
Practice Address - Street 2:RIO HONDO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-605-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist