Provider Demographics
NPI:1881491504
Name:PEREZ-MUNOZ, KEVIN OMAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:OMAR
Last Name:PEREZ-MUNOZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE PINEIRO SUITE 306
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0306
Mailing Address - Country:US
Mailing Address - Phone:787-245-1465
Mailing Address - Fax:
Practice Address - Street 1:#668 CALLE CUBITA, LOS FRAILES INDUSTRIAL PARK
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-787-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist