Healthcare Provider Details

I. General information

NPI: 1104954213
Provider Name (Legal Business Name): MARIA DEL CARMEN PEREZ PLUMEY PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA DEL CARMEN PEREZ PLUMEY PHARMACIST

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOSE MENDEZ CARDONA # 3
SAN SEBASTIAN PR
00685
US

IV. Provider business mailing address

PO BOX 1597
SAN SEBASTIAN PR
00685-1597
US

V. Phone/Fax

Practice location:
  • Phone: 787-896-1850
  • Fax: 787-280-1698
Mailing address:
  • Phone: 787-896-1850
  • Fax: 787-280-1698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3137
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: