Provider Demographics
NPI:1427784495
Name:VALENTIN AGRONT, SHAKIRA MICHELLE
Entity type:Individual
Prefix:
First Name:SHAKIRA
Middle Name:MICHELLE
Last Name:VALENTIN AGRONT
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 1:26 REPTO BONET
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-3168
Mailing Address - Country:US
Mailing Address - Phone:787-431-7774
Mailing Address - Fax:
Practice Address - Street 1:2135 CARR 2 DRIVE IN PLZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-785-9176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist