Healthcare Provider Details

I. General information

NPI: 1326704743
Provider Name (Legal Business Name): NATALIA NAHI OLMEDA-VIERA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 11/10/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 3 URB. BUZO 443
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 782
PUNTA SANTIAGO PR
00741-0782
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-2828
  • Fax:
Mailing address:
  • Phone: 787-424-4568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6921
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: