MEDICARE: ERIKA OSSO I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	4739	PR

General Provider Information

NPI Number	:	1649291220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA OSSO I

Provider Business Mailing Address
First Line	:	95 CALLE ROBLE
Second Line	:	HACIENDA MI QUERIDO VIEJO
City	:	DORADO
State	:	PR
Zip	:	00646-2612
Country	:	US
Telephone Number	:	787-501-3577
Fax Number	:	787-870-7939

Provider Business Practice Location Address
First Line	:	B35 CALLE 6
Second Line	:	URB SAN FERNANDO
City	:	TOA ALTA
State	:	PR
Zip	:	00953-2205
Country	:	US
Telephone Number	:	787-501-3577
Fax Number	:	787-870-7939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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Directions to “ ERIKA OSSO I ” Practice Location

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