Doctor Name: | CARMEN DIAZ |
NPI Number: | 1164816047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 008123 |
Business Practice Address: | 20-28 Ave. Gilberto Concepcion De Gracia Urb. Sierra Bayamon Bayamon, PR - 00961 |
Business Phone Number: | 7877869610 |
Business Fax Number: | |
Mailing Address: | 28-20 Ave. Gilberto Concepcion De Gracia, Urb. Sierra Bayamon, BAYAMON |
State: | PR |
Postal Code: | 00961 |
Phone Number: | 7877869610 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 008123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |