Mildred Medina, PHARMACIST
Pharmacist in Fajardo, Puerto Rico
1669765400- Practice location
- 4203 Calle Marginal, Fajardo, PR 00738-3652
- Phone
- 787-860-1600
- Fax
- 787-860-1614
- Last updated
- May 26, 2011
Mildred Medina is a Pharmacist based in Fajardo, PR. Mildred Medina practices in Fajardo, PR and has the professional credentials of PHARMACIST. The NPI Number for Mildred Medina is 1669765400 and holds a License No. 4645 (PR). The current practice location address for Mildred Medina is 4203 Calle Marginal, Fajardo, PR 00738-3652 and can be reached out via phone at 787-860-1600 and via fax at 787-860-1614.
Provider Profile Details
- NPI Number
- 1669765400
- Provider Name
- Mildred Medina
- Credential
- PHARMACIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4203 Calle Marginal, Fajardo, PR 00738-3652
- Phone Number
- 787-860-1600
- Fax Number
- 787-860-1614
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 26, 2011
- Last Update Date
- May 26, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4203 Calle Marginal
Fajardo, PR 00738-3652 - City
- Fajardo
- State
- Puerto Rico
- Zip
- 00738-3652
- Phone Number
- 787-860-1600
- Fax Number
- 787-860-1614
Provider Business Mailing Address Details
- Address
- 4203 Calle Marginal
Fajardo, PR 00738-3652 - City
- Fajardo
- State
- PR
- Zip
- 00738-3652
- Phone Number
- 787-860-1600
- Fax Number
- 787-860-1614
License Information
- License Number
- 4645
- License State
- PR
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mildred Medina, PHARMACIST?
The NPI number of Mildred Medina, PHARMACIST is 1669765400. It was assigned on May 26, 2011 and is currently active in the NPPES registry.
What is the specialty of Mildred Medina, PHARMACIST?
Mildred Medina, PHARMACIST is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PR under license number 4645.
Where does Mildred Medina, PHARMACIST practice?
The practice location is 4203 Calle Marginal, Fajardo, PR 00738-3652. The office can be reached at 787-860-1600 (phone) or 787-860-1614 (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 1669765400 directly on the NPPES registry website.