Iris Marangeli De Jesus, R.PH.

Individual provider Active NPI Pharmacist · Coto Laurel, PR

NPI 1104003391 · NPPES record last updated Jan 30, 2008

Key facts

NPI
1104003391
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
4434 (PR)
Practice address
#14 State Road
Coto Laurel, PR 00780
Phone
(787) 651-0484
Fax
(787) 651-0486
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4434PRMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4434 PR Yes

Addresses

Primary practice location

#14 State Road
Coto Laurel, PR 00780

Mailing address

1653 Calle Navarra
La Rambla
Ponce, PR 00730-4043
Phone (787) 848-7089

Other providers in Coto Laurel, PR

All providers in Coto Laurel, PR · Pharmacist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.