Provider Demographics
NPI:1861527632
Name:MOYA, MARIA A (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:A
Last Name:MOYA
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:STA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:707-202-0067
Mailing Address - Fax:
Practice Address - Street 1:MUNOZ RIVERA #19
Practice Address - Street 2:FARM LA MONSERRATE
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-824-2220
Practice Address - Fax:787-824-5617
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5030183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician