Provider Demographics
NPI:1043655277
Name:IRIZARRY-RESTO, ABEL (RPH)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:IRIZARRY-RESTO
Suffix:
Gender:M
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:LA MONSERRATE CALLE 6 F 10
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-1613
Mailing Address - Country:US
Mailing Address - Phone:787-849-3473
Mailing Address - Fax:
Practice Address - Street 1:LA MONSERRATE CALLE 6 F 10
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1613
Practice Address - Country:US
Practice Address - Phone:787-849-3473
Practice Address - Fax:787-840-3010
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist