Provider Demographics
NPI:1841363892
Name:PEREZ, MILAGROS (RPH)
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:
Last Name:PEREZ
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:D5 - EBANO
Mailing Address - Street 2:CON.PARQ. S. PATRICIO I-APT 606
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3428
Mailing Address - Country:US
Mailing Address - Phone:787-864-0653
Mailing Address - Fax:787-864-0653
Practice Address - Street 1:D5 - EBANO
Practice Address - Street 2:CON. PARQ. S. PATRICIO I-APT. 606
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3428
Practice Address - Country:US
Practice Address - Phone:787-637-0652
Practice Address - Fax:787-637-0652
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist