Provider Demographics
NPI:1992927388
Name:MENDEZ, LYMARIS E (RPH)
Entity type:Individual
Prefix:
First Name:LYMARIS
Middle Name:E
Last Name:MENDEZ
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 1:80 URB SAN CARLOS
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5818
Mailing Address - Country:US
Mailing Address - Phone:787-486-3521
Mailing Address - Fax:787-891-8614
Practice Address - Street 1:CARRETERA 110 KM 22.7
Practice Address - Street 2:BO. CEIBA BAJA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-2000
Practice Address - Fax:787-891-8614
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist