Healthcare Provider Details

I. General information

NPI: 1174735450
Provider Name (Legal Business Name): JAMIE A CUYAR RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR 167 & PR 199 BAYMON TOWNE CENTER
BAYAMON PR
00957
US

IV. Provider business mailing address

PR 167 & PR 199 BAYMON TOWNE CENTER
BAYAMON PR
00957
US

V. Phone/Fax

Practice location:
  • Phone: 787-730-2615
  • Fax: 787-730-2720
Mailing address:
  • Phone: 787-730-2615
  • Fax: 787-730-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4341
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: