Provider Demographics
NPI:1194081299
Name:FIGUEROA, BRENDA ANNETTE (PHARMACIST TECHNICIA)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ANNETTE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:PHARMACIST TECHNICIA
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 216
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0216
Mailing Address - Country:US
Mailing Address - Phone:787-869-6899
Mailing Address - Fax:
Practice Address - Street 1:109 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3024
Practice Address - Country:US
Practice Address - Phone:787-869-2460
Practice Address - Fax:787-869-0756
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4059900183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician