Provider Demographics
NPI:1669700894
Name:OROPEZA, JEISHA TANIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEISHA
Middle Name:TANIA
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE.QUINTAS DE PLAZA ACUARIUM, DORADO'S STREET BOX # 2
Mailing Address - Street 2:
Mailing Address - City:TOAT ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-568-5780
Mailing Address - Fax:
Practice Address - Street 1:AVE. QUEBRADA ARENAS, QUINTAS DE PLAZA ACUARIUM
Practice Address - Street 2:DORADO'S STREET #2
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-568-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0053571835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist