Provider Demographics
NPI:1215182183
Name:GUZMAN, YOLANDA DEL C (RPH)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DEL C
Last Name:GUZMAN
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:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-0121
Mailing Address - Country:US
Mailing Address - Phone:787-239-3130
Mailing Address - Fax:787-889-4186
Practice Address - Street 1:2ND STREET, BRISAS DEL MAR
Practice Address - Street 2:BRISAS DEL MAR SHOPPING CENTER
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773
Practice Address - Country:US
Practice Address - Phone:787-889-3289
Practice Address - Fax:787-889-4186
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist