Provider Demographics
NPI:1912080789
Name:ARAUJO, GLADYS MARIA (R PH)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:MARIA
Last Name:ARAUJO
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:MRS
Other - First Name:GLADYS
Other - Middle Name:
Other - Last Name:UGARTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:R PH
Mailing Address - Street 1:PO BOX 3509
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3509
Mailing Address - Country:US
Mailing Address - Phone:787-769-6660
Mailing Address - Fax:787-274-1434
Practice Address - Street 1:206 MUNOZ RIVERA ST.
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-863-0810
Practice Address - Fax:787-860-6666
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist