Provider Demographics
NPI:1881789410
Name:ALMANZAR, MIGUELINA ALTAGRACIA (RPH)
Entity type:Individual
Prefix:
First Name:MIGUELINA
Middle Name:ALTAGRACIA
Last Name:ALMANZAR
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 1:19166 NORTH GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-4408
Mailing Address - Country:US
Mailing Address - Phone:954-384-2268
Mailing Address - Fax:
Practice Address - Street 1:1201 NW 16 ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist