Healthcare Provider Details

I. General information

NPI: 1730308891
Provider Name (Legal Business Name): ZORAIDA MARRERO MELENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZORAIDA MELENDEZ MARRERO RPH

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 01/16/2021
Certification Date: 01/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 CARR 2 # CVS07967
MANATI PR
00674-5469
US

IV. Provider business mailing address

PO BOX 351
BARCELONETA PR
00617-0351
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-8450
  • Fax: 787-854-8459
Mailing address:
  • Phone: 939-438-5477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number003473
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1319410
Identifier TypeOTHER
Identifier State
Identifier IssuerCVS STAFF PHARMACIST
# 2
Identifier801745930
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerRCM UPR
# 3
Identifier0000099146
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerGOOD STANDING
# 4
Identifier0362
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerPR PHARMACY BOARD
# 5
Identifier1441754
Identifier TypeOTHER
Identifier State
Identifier IssuerNABP
# 6
Identifier51533
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerORCPS VACCINE ADMINISTRATION
# 7
Identifier001837407
Identifier TypeOTHER
Identifier StatePR
Identifier Issuer66-0232687WALGREEN OF PUERTO RICO INC.
# 8
Identifier333439
Identifier TypeOTHER
Identifier State
Identifier IssuerNABP
# 9
Identifier003473
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerCOLEGIO DE FARMCEUTICOS DE PUERTO RICO
# 10
Identifier051098
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerHEALTH PROF REG
# 11
IdentifierRPT78982
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerLIICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: