Active NPIIndividual providerSole proprietor

Mrs. Mildred N Pancorbo, LCDA

Pharmacist in Mayaguez, Puerto Rico

NPI Number1124174750
Practice location
21 Calle Zafiro, Vista Verde, Mayaguez, PR 00682-2519
Fax
787-832-2186
Last updated
July 8, 2007

Mildred Nereida Pancorbo is a Pharmacist based in Mayaguez, PR. Mildred Nereida Pancorbo practices in Mayaguez, PR and has the professional credentials of LCDA. The NPI Number for Mildred Nereida Pancorbo is 1124174750 and holds a License No. 3425 (PR). The current practice location address for Mildred Nereida Pancorbo is 21 Calle Zafiro, Vista Verde, Mayaguez, PR 00682-2519 and can be reached out via phone at 787-646-8870 and via fax at 787-832-2186.

Provider Profile Details

NPI Number
1124174750
Provider Name
Mildred Nereida Pancorbo
Credential
LCDA
Provider Entity Type
Individual
Gender
Female
Address
21 Calle Zafiro, Vista Verde, Mayaguez, PR 00682-2519
Phone Number
787-646-8870
Fax Number
787-832-2186
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Calle Zafiro
Vista Verde
Mayaguez, PR 00682-2519
Zip
00682-2519
Phone Number
787-646-8870
Fax Number
787-832-2186
Mayaguez, PR 00682Get directions →

Provider Business Mailing Address Details

Address
21 Calle Zafiro
Vista Verde
Mayaguez, PR 00682-2519
City
Mayaguez
State
PR
Zip
00682-2519
Phone Number
787-646-8870
Fax Number
787-832-2186

License Information

License Number
3425
License State
PR
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mildred N Pancorbo, LCDA?

The NPI number of Mrs. Mildred N Pancorbo, LCDA is 1124174750. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mildred N Pancorbo, LCDA?

Mrs. Mildred N Pancorbo, LCDA is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PR under license number 3425.

Where does Mrs. Mildred N Pancorbo, LCDA practice?

The practice location is 21 Calle Zafiro, Vista Verde, Mayaguez, PR 00682-2519. The office can be reached at 787-646-8870 (phone) or 787-832-2186 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124174750 directly on the NPPES registry website.

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