Healthcare Provider Details

I. General information

NPI: 1730720392
Provider Name (Legal Business Name): DARILYS GUZMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 106 K.M. 5.8 BO. QUEMADO
MAYAGUEZ PR
00681-0068
US

IV. Provider business mailing address

PO BOX 1181
SAN SEBASTIAN PR
00685-1181
US

V. Phone/Fax

Practice location:
  • Phone: 787-832-6074
  • Fax:
Mailing address:
  • Phone: 787-245-1417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number6611
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: