Provider Demographics
NPI:1124312848
Name:ZORRILLA, JULIA M
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:ZORRILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3310
Mailing Address - Country:US
Mailing Address - Phone:787-296-8461
Mailing Address - Fax:787-296-8468
Practice Address - Street 1:400 MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3310
Practice Address - Country:US
Practice Address - Phone:787-296-8461
Practice Address - Fax:787-296-8468
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist