Healthcare Provider Details

I. General information

NPI: 1902719545
Provider Name (Legal Business Name): ANGELICA K ZAYAS ORTIZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CALLE GERARDO NIEVES MERCADO
COMERIO PR
00782-2539
US

IV. Provider business mailing address

PO BOX 515
NARANJITO PR
00719-0515
US

V. Phone/Fax

Practice location:
  • Phone: 787-875-3375
  • Fax:
Mailing address:
  • Phone: 787-869-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number008580
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: