Provider Demographics
NPI:1427105162
Name:PEIRATS, ROBERTO (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:PEIRATS
Suffix:
Gender:M
Credentials:PHARMACIST
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 5986
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5986
Mailing Address - Country:US
Mailing Address - Phone:787-739-1778
Mailing Address - Fax:787-744-3397
Practice Address - Street 1:CARR 172 ESQ ASTURIAS
Practice Address - Street 2:3RA SECC VILLA DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-5952
Practice Address - Fax:787-744-3397
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1154308716Other1154308716