Healthcare Provider Details

I. General information

NPI: 1518822162
Provider Name (Legal Business Name): ALEXANDRA LIZ PRIETO ESTRADA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6XC2 772, PR-172, CAGUAS, 00727, PUERTO RICO
CAGUAS PR
00727
US

IV. Provider business mailing address

BA28 JOAQUIN BOSCH 5TA SECC LEVITTOWN
TOA BAJA PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-0550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8467
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: