Jessibel Avila, PHARMD
Individual provider Active NPI Pharmacist · Yauco, PR
NPI 1033583232 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1033583232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6221 (PR)
- Practice address
- 643 Yauco Plaza II
Yauco, PR 00698-4448 - Phone
- (787) 267-5727
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6221 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6221 | PR | Yes |
Addresses
Primary practice location
643 Yauco Plaza II
Yauco, PR 00698-4448
Mailing address
A31 Calle Madrid
Almacigo Bajo Mansiones de Monterey
Yauco, PR 00698
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.