Healthcare Provider Details

I. General information

NPI: 1912896010
Provider Name (Legal Business Name): KIM KRONEMEYER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO CANDELARIA K.M. 62.7
ARECIBO PR
00612
US

IV. Provider business mailing address

URB VISTA AZUL CALLE 30 JJ10
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-881-2440
  • Fax:
Mailing address:
  • Phone: 706-987-7597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67896
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number008407
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: