Healthcare Provider Details

I. General information

NPI: 1922093822
Provider Name (Legal Business Name): NELLY CONTE SCHMIDT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF PUERTO RICO MEDICAL CENTER CAMPUS SCHOOL OF PHARMACY
SAN JUAN PR
00936-5067
US

IV. Provider business mailing address

PMB #275 400 CALLE CALAF
SAN JUAN PR
00918-1314
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax: 787-754-6995
Mailing address:
  • Phone: 787-502-6441
  • Fax: 787-287-9224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2447
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: