Provider Demographics
NPI:1285241216
Name:JOVE, ADA O (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ADA
Middle Name:O
Last Name:JOVE
Suffix:
Gender:F
Credentials:PHARMD
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 141492
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1492
Mailing Address - Country:US
Mailing Address - Phone:787-376-0067
Mailing Address - Fax:787-855-2301
Practice Address - Street 1:CARR. #2 KIN 429 BO DELIQARUBC
Practice Address - Street 2:
Practice Address - City:VEGA PEGA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-376-0067
Practice Address - Fax:787-855-2301
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist