Provider Demographics
NPI:1124306311
Name:FLORES, MINERVA (TECNICA DE FARMACIA)
Entity type:Individual
Prefix:
First Name:MINERVA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:TECNICA DE FARMACIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1570 AVE. CORAZONES VILLA SULTANITA
Mailing Address - Street 2:CARRETERA ESTATAL #2 BO. SABALOS
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1570
Mailing Address - Country:US
Mailing Address - Phone:787-833-8700
Mailing Address - Fax:787-265-5155
Practice Address - Street 1:AVE. CORAZONES VILLA SULTANITA
Practice Address - Street 2:CARRETERA ESTATAL #2 BO. SABALOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-0000
Practice Address - Country:US
Practice Address - Phone:787-833-8700
Practice Address - Fax:787-265-5155
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician