=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215182183
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YOLANDA DEL C. GUZMAN RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2008
-----------------------------------------------------
Last Update Date | 11/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2ND STREET, BRISAS DEL MAR BRISAS DEL MAR SHOPPING CENTER
-----------------------------------------------------
City | LUQUILLO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-889-3289
-----------------------------------------------------
Fax | 787-889-4186
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 121
-----------------------------------------------------
City | RIO GRANDE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00745-0121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-239-3130
-----------------------------------------------------
Fax | 787-889-4186
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 3746
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------