Healthcare Provider Details

I. General information

NPI: 1396649505
Provider Name (Legal Business Name): ADOLFO A. ALEJANDRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 CALLE AUREOLA
CAGUAS PR
00727-3130
US

IV. Provider business mailing address

89 CALLE AUREOLA
CAGUAS PR
00727-3130
US

V. Phone/Fax

Practice location:
  • Phone: 787-690-8989
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45023982A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: