Healthcare Provider Details

I. General information

NPI: 1982527032
Provider Name (Legal Business Name): CARLOS J TELLET PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UU48 CALLE 37
BAYAMON PR
00956-4773
US

IV. Provider business mailing address

CIUDAD JARDIN 3 UCAR 11
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-786-0755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number008544
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: