Healthcare Provider Details

I. General information

NPI: 1740143569
Provider Name (Legal Business Name): OSCAR DANIEL ALVAREZ LORENZO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CARR 308
CABO ROJO PR
00623-4860
US

IV. Provider business mailing address

REPTO DAGUEY A16 CALLE 1
ANASCO PR
00610
US

V. Phone/Fax

Practice location:
  • Phone: 787-851-3363
  • Fax:
Mailing address:
  • Phone: 787-475-1188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8458
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: