Healthcare Provider Details

I. General information

NPI: 1376690008
Provider Name (Legal Business Name): ELENA ESCRIBANO PHARMACY TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 172 ESQ ASTURIAS 3RA SECC VILLA DEL REY
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 8046
CAGUAS PR
00726-8046
US

V. Phone/Fax

Practice location:
  • Phone: 787-746-5952
  • Fax: 787-744-3397
Mailing address:
  • Phone: 787-747-8395
  • Fax: 787-744-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number5461
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: