MEDICARE: CARMEN MARIA QUINONES MORALES PHARMD

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	183500000X	Pharmacist	7014	PR

General Provider Information

NPI Number	:	1861140295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN MARIA QUINONES MORALES PHARMD

Provider Business Mailing Address
First Line	:	URB. MANSIONES DE MONTERREY
Second Line	:	CALLE ASTURIAS #628
City	:	YAUCO
State	:	PR
Zip	:	00698
Country	:	US
Telephone Number	:	787-543-7579
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 CALLE 25 DE JULIO
Second Line	:
City	:	GUANICA
State	:	PR
Zip	:	00653-2712
Country	:	US
Telephone Number	:	787-821-3131
Fax Number	:	787-821-2222

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

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

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