Provider Demographics
NPI:1881801066
Name:ESTRELLA, MYRMA LUZ (PHARMACIST LIC 1538)
Entity type:Individual
Prefix:MRS
First Name:MYRMA
Middle Name:LUZ
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:PHARMACIST LIC 1538
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 CALLE 32
Mailing Address - Street 2:JARDINES METROPOLITANOS
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4706
Mailing Address - Country:US
Mailing Address - Phone:787-758-4112
Mailing Address - Fax:
Practice Address - Street 1:FARMACIA GES CDT ARNALDO J GARCIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913
Practice Address - Country:US
Practice Address - Phone:787-728-2940
Practice Address - Fax:787-726-0960
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist