Healthcare Provider Details

I. General information

NPI: 1326952714
Provider Name (Legal Business Name): JULIXA BERMUDEZ SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 173 KM 6 BO RABANAL
CIDRA PR
00739
US

IV. Provider business mailing address

BO RABANAL CARR 775 KM 7.3
CIDRA PR
00739
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-5754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number013147
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: