Provider Demographics
NPI:1912389115
Name:PLAUD LOPEZ, AMAIRY ENID (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:AMAIRY
Middle Name:ENID
Last Name:PLAUD LOPEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BC29 CALLE 63
Mailing Address - Street 2:HILL MANSIONS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4686
Mailing Address - Country:US
Mailing Address - Phone:787-999-7203
Mailing Address - Fax:787-999-7205
Practice Address - Street 1:1185 AVE 65 INFANTERIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3403
Practice Address - Country:US
Practice Address - Phone:787-999-7203
Practice Address - Fax:787-999-7205
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR62691835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist