Provider Demographics
NPI:1902160823
Name:ARAMBARRY-BENITEZ, VICTOR M (RPH)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:M
Last Name:ARAMBARRY-BENITEZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 CALLE LADY DI
Mailing Address - Street 2:LOS ALMENDROS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-3527
Mailing Address - Country:US
Mailing Address - Phone:787-412-4556
Mailing Address - Fax:
Practice Address - Street 1:669 CALLE LADY DI
Practice Address - Street 2:LOS ALMENDROS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3527
Practice Address - Country:US
Practice Address - Phone:787-412-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist