Provider Demographics
NPI:1104113463
Name:HERNANDEZ-ARBELO, NILDA M (RPH)
Entity type:Individual
Prefix:MRS
First Name:NILDA
Middle Name:M
Last Name:HERNANDEZ-ARBELO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:T5 CALLE PRINCIPE CARLOS
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5305
Mailing Address - Country:US
Mailing Address - Phone:787-409-6908
Mailing Address - Fax:
Practice Address - Street 1:BAXTER PHARMACY SERVICES
Practice Address - Street 2:STATE ROAD 24
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-5523
Practice Address - Country:US
Practice Address - Phone:787-792-5757
Practice Address - Fax:787-792-5757
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2881183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2881OtherPHARMACIST LICENSE NUMBER