Provider Demographics
NPI:1306967773
Name:FERRER, LOURDES MARIA
Entity type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:MARIA
Last Name:FERRER
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 1:87 CALLE REINA ISABEL
Mailing Address - Street 2:LA VILLA DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3279
Mailing Address - Country:US
Mailing Address - Phone:787-272-0553
Mailing Address - Fax:787-354-1177
Practice Address - Street 1:PLAZA SAN FRANCISCO
Practice Address - Street 2:201 AVE DE DIEGO SUITE 55
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5812
Practice Address - Country:US
Practice Address - Phone:787-751-2893
Practice Address - Fax:787-354-1177
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist