Angel Luis Beauchamp
Individual provider Active NPI Pharmacy Technician · Hormigueros, PR
NPI 1962613331 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962613331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5920 (PR)
- Practice address
- Plaza Monserrate I
Carr 345 KM 2.1
Hormigueros, PR 00660 - Phone
- (787) 849-0749
- Fax
- (787) 849-3010
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5920 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5920 | PR | Yes |
Addresses
Primary practice location
Plaza Monserrate I
Carr 345 KM 2.1
Hormigueros, PR 00660
Mailing address
Urb. San Miguel
Calle Dadna Ortiz Vazquez
Sabana Grande, PR 00637
Phone (787) 255-5624
Other providers in Hormigueros, PR
- Grizel Anglero
- Carolina A Antunez de Mayolo Ramos
- Brendaliz Arroyo
- As Rehab Inc
- Luz J Baez Mendez
- Antoinette Beltran-Melendez
- Linnette Bracero-Torres
- Dennis Caban
- Ananska M Carlo
- Simon Enrique Carlo
All providers in Hormigueros, PR · Pharmacy Technician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.