Provider Demographics
NPI:1952519977
Name:MARQUEZ CABALLERO, JOSEFINA
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:MARQUEZ CABALLERO
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:HC 3 BOX 8195
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9711
Mailing Address - Country:US
Mailing Address - Phone:787-287-1597
Mailing Address - Fax:787-287-2433
Practice Address - Street 1:AVE. LOS ROMEROS 9615
Practice Address - Street 2:SUITE 515
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7038
Practice Address - Country:US
Practice Address - Phone:787-287-1597
Practice Address - Fax:787-287-2433
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1685183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician