Juanetziel Charneco Gonzalez, PHARMD

Individual provider Active NPI Pharmacist · Quebradillas, PR

NPI 1992418255 · NPPES record last updated Jan 3, 2023

Key facts

NPI
1992418255
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
8043 (PR)
Practice address
Carretera Estatal PR 2 KM 101.0
Quebradillas, PR 00678
Phone
(787) 895-0808
NPI assigned
Jan 3, 2023
Sex
Male
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
8043PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8043 PR Yes

Addresses

Primary practice location

Carretera Estatal PR 2 KM 101.0
Quebradillas, PR 00678

Mailing address

HC 5 Box 107927
Moca, PR 00676-9774
Phone (787) 215-8551

Other providers in Quebradillas, PR

All providers in Quebradillas, PR · Pharmacist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.