Provider Demographics
NPI:1528862687
Name:FERNANDINI, VIVIANA SOFIA (PHARM D)
Entity type:Individual
Prefix:
First Name:VIVIANA
Middle Name:SOFIA
Last Name:FERNANDINI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 SERGIO BUSTAMANTE
Mailing Address - Street 2:APT 68
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-460-0762
Mailing Address - Fax:
Practice Address - Street 1:URB. INDUSTRIAL LUCHETTI, CARR 28
Practice Address - Street 2:AVE. FRANCISCO JOSE DE GOYA, FINAL
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-787-7733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist