Provider Demographics
NPI:1174104244
Name:ROBLES AGUIAR, OMAYRA
Entity type:Individual
Prefix:
First Name:OMAYRA
Middle Name:
Last Name:ROBLES AGUIAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4US32 VIA 43
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-4855
Mailing Address - Country:US
Mailing Address - Phone:787-550-2644
Mailing Address - Fax:
Practice Address - Street 1:8030 CALLE TARTAK
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-5802
Practice Address - Country:US
Practice Address - Phone:787-641-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician