Healthcare Provider Details

I. General information

NPI: 1205475282
Provider Name (Legal Business Name): WINEL AMAURY SEGARRA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 SUITE 6 LUIS MUNOZ RIVERA
GUAYANILLA P R PR
00656
US

IV. Provider business mailing address

268 SUITE 6 LUIS MUNOZ RIVERA
GUAYANILLA P R PR
00656
US

V. Phone/Fax

Practice location:
  • Phone: 787-835-3020
  • Fax: 787-835-5927
Mailing address:
  • Phone: 787-381-2477
  • Fax: 787-835-5927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6394
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: