Healthcare Provider Details

I. General information

NPI: 1184553463
Provider Name (Legal Business Name): IVAN RAFAEL SAAVEDRA TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 143926
ARECIBO PR
00614-3926
US

IV. Provider business mailing address

PO BOX 143926
ARECIBO PR
00614-3926
US

V. Phone/Fax

Practice location:
  • Phone: 787-519-3032
  • Fax:
Mailing address:
  • Phone: 787-519-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8667
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: