Provider Demographics
NPI:1447316948
Name:VEGA, LUZ AWILDA (PHARMACYTECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:AWILDA
Last Name:VEGA
Suffix:
Gender:F
Credentials:PHARMACYTECHNICIAN
Other - Prefix:
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Mailing Address - Street 1:E14 AVE RICKY SEDA
Mailing Address - Street 2:IDAMARIS GARDENS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5725
Mailing Address - Country:US
Mailing Address - Phone:787-744-2168
Mailing Address - Fax:787-744-3397
Practice Address - Street 1:CARR 172 ESQ ASTURIAS
Practice Address - Street 2:3RA SECC VILLA DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-5952
Practice Address - Fax:787-744-3397
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR2303183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician