Healthcare Provider Details

I. General information

NPI: 1568173557
Provider Name (Legal Business Name): MEY LING REYTOR GONZALEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 CALLE BARCELO
BARRANQUITAS PR
00794-1614
US

IV. Provider business mailing address

96 CALLE BARCELO
BARRANQUITAS PR
00794-1614
US

V. Phone/Fax

Practice location:
  • Phone: 787-857-2750
  • Fax: 787-857-0707
Mailing address:
  • Phone: 787-857-2750
  • Fax: 787-857-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7069
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: