Jennifer I Mendez-Montalvo, PHARM D

Individual provider Active NPI Pharmacist · Aguadill, PR

NPI 1972874758 · NPPES record last updated Jan 25, 2012

Key facts

NPI
1972874758
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5536 (PR)
Practice address
Urb Villa Linda Calle Turpial Casa #52
Aguadill, PR 00603
Phone
(787) 882-0108
NPI assigned
Jan 25, 2012
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5536PRMDCognitive & Behavioral Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5536 PR Yes

Addresses

Primary practice location

Urb Villa Linda Calle Turpial Casa #52
Aguadill, PR 00603

Mailing address

PO Box 3252
Aguadilla, PR 00605-3252

Other providers in Aguadill, PR

All providers in Aguadill, PR · Pharmacist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.