Provider Demographics
NPI:1780088302
Name:ALVERIO PARES, MARIA MERCEDES
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MERCEDES
Last Name:ALVERIO PARES
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:PO BOX 973
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-0973
Mailing Address - Country:US
Mailing Address - Phone:939-585-0043
Mailing Address - Fax:939-585-0045
Practice Address - Street 1:PR-2 KM 66.6 BO. FACTOR I
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:939-585-0043
Practice Address - Fax:939-585-0045
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist