Wilda Garrastegui
Individual provider Active NPI Pharmacist · Sanjuan, PR
NPI 1104963735 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104963735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4984 (PR)
- Practice address
- Street Benito Feijo Num. 2031
El Senorial
Sanjuan, PR 00926 - Phone
- (787) 983-2125
- NPI assigned
- Jan 31, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4984 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4984 | PR | Yes |
Addresses
Primary practice location
Street Benito Feijo Num. 2031
El Senorial
Sanjuan, PR 00926
Mailing address
Street Benito Feijo Num. 2031
El Senorial
Sanjuan, PR 00926
Phone (787) 983-2125
Other providers in Sanjuan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.