Provider Demographics
NPI:1528101417
Name:VALLELLANES, LINNETTE (RPH)
Entity type:Individual
Prefix:
First Name:LINNETTE
Middle Name:
Last Name:VALLELLANES
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:K12 CALLE 1
Mailing Address - Street 2:VALPARAISO
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4004
Mailing Address - Country:US
Mailing Address - Phone:787-638-8955
Mailing Address - Fax:787-715-1771
Practice Address - Street 1:CALLE 1 K12
Practice Address - Street 2:VALPRAISO
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00963-0458
Practice Address - Country:US
Practice Address - Phone:787-638-8955
Practice Address - Fax:787-715-1771
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist