Provider Demographics
NPI:1184917312
Name:QUINTANA, KARY ANN (RPH)
Entity type:Individual
Prefix:
First Name:KARY
Middle Name:ANN
Last Name:QUINTANA
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:AVE LAUREL
Mailing Address - Street 2:G-1 SANTA JUANITA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-6931
Mailing Address - Country:US
Mailing Address - Phone:787-269-4200
Mailing Address - Fax:787-269-4270
Practice Address - Street 1:AVE LAUREL
Practice Address - Street 2:G-1 SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-6931
Practice Address - Country:US
Practice Address - Phone:787-269-4200
Practice Address - Fax:787-269-4270
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist