Provider Demographics
NPI:1396249942
Name:NAVARRO VELEZ, GABRIELA MARIANA (PHARM D)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MARIANA
Last Name:NAVARRO VELEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3896 PR 2 & CASTRO PEREZ AVENUE
Mailing Address - Street 2:KMART PHARMACY
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-892-1500
Mailing Address - Fax:
Practice Address - Street 1:3896 PR 2 & CASTRO PEREZ AVENUE
Practice Address - Street 2:KMART PHARMACY
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist