Provider Demographics
NPI:1528328341
Name:GUZMAN, DYNIA M (RPH)
Entity type:Individual
Prefix:MS
First Name:DYNIA
Middle Name:M
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210-25 CALLE 511
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-3032
Mailing Address - Country:US
Mailing Address - Phone:787-220-9965
Mailing Address - Fax:787-775-7994
Practice Address - Street 1:210-25 CALLE 511
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-3032
Practice Address - Country:US
Practice Address - Phone:787-220-9965
Practice Address - Fax:787-775-7994
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-26
Last Update Date:2012-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist