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NPI Code Detail

MEDICARE: DR. NYNOSHKA MARIE MORENO QUILES PHARMD.

MEDICARE: DR. NYNOSHKA MARIE MORENO QUILES PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6642PR

General Provider Information

NPI Number : 1275092744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NYNOSHKA MARIE MORENO QUILES PHARMD.
Provider Business Mailing Address
First Line : 200 AVE LOS CHALETS APT 91
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-4464
Country : US
Telephone Number : 787-374-1508
Fax Number :
Provider Business Practice Location Address
First Line : 150 CALLE F VIZCARRONDO
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-4483
Country : US
Telephone Number : 787-755-1375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2019
Last Update Date : 01/02/2023

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