Carmen P Gonzalez

Individual provider Active NPI Pharmacy Technician · Hatillo, PR

NPI 1164540605 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164540605
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
3789 (PR)
Practice address
Carr 129 Barrio Bayanley
Farmacia San Felipe
Hatillo, PR 00659
Phone
(787) 898-6378
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3789PRMDDiagnostic Ultrasound Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 3789 PR Yes

Addresses

Primary practice location

Carr 129 Barrio Bayanley
Farmacia San Felipe
Hatillo, PR 00659

Mailing address

Calle Pedro Albizu Campos #197
Lares, PR 00669
Phone (787) 384-6583

Other providers in Hatillo, PR

All providers in Hatillo, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.