Provider Demographics
NPI:1033685896
Name:HOYOS, DEXTER JAVIER (PHARMD)
Entity type:Individual
Prefix:
First Name:DEXTER
Middle Name:JAVIER
Last Name:HOYOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 CALLE RAMOS ANTONINI
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-4806
Mailing Address - Country:US
Mailing Address - Phone:787-844-2805
Mailing Address - Fax:787-841-5551
Practice Address - Street 1:553 CALLE RAMOS ANTONINI
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-4806
Practice Address - Country:US
Practice Address - Phone:787-844-2805
Practice Address - Fax:787-841-5551
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist