Delymar Burgos

Individual provider Active NPI Pharmacy Technician · Ciales, PR

NPI 1811219306 · NPPES record last updated Feb 24, 2010

Key facts

NPI
1811219306
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
7425 (PR)
Practice address
HC 1 Box 6210
Ciales, PR 00638-9849
Phone
(787) 232-5119
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7425PRMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 7425 PR Yes

Addresses

Primary practice location

HC 1 Box 6210
Ciales, PR 00638-9849

Mailing address

PO Box 484
Ciales, PR 00638-0484
Phone (787) 232-5119

Other providers in Ciales, PR

All providers in Ciales, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.