Healthcare Provider Details

I. General information

NPI: 1225275399
Provider Name (Legal Business Name): MRS. ROSAMARIA GUZMAN-GIRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 156 KM 49.0
AGUAS BUENAS PR
00703
US

IV. Provider business mailing address

PO BOX 1202
AGUAS BUENAS PR
00703-1202
US

V. Phone/Fax

Practice location:
  • Phone: 787-732-4799
  • Fax: 787-732-4799
Mailing address:
  • Phone: 787-732-4799
  • Fax: 787-732-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number4636
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: