Provider Demographics
NPI:1831443829
Name:CARTAGENA, MARINA E (RPH)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:E
Last Name:CARTAGENA
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:IDAMARIS GARDEN
Mailing Address - Street 2:L39 CALLE JUAN M. MORALES
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5701
Mailing Address - Country:US
Mailing Address - Phone:787-737-3355
Mailing Address - Fax:
Practice Address - Street 1:4 CALLE SAN JOSE N
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-2429
Practice Address - Country:US
Practice Address - Phone:787-737-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist