Healthcare Provider Details

I. General information

NPI: 1114711959
Provider Name (Legal Business Name): SEBASTIAN ANDRES CLAUDIO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 185 KM 5 HM 5 BARRIO CAMPO RICO
CANOVANAS PR
00729
US

IV. Provider business mailing address

49 CALLE CAPRI
SAN JUAN PR
00926-5947
US

V. Phone/Fax

Practice location:
  • Phone: 787-955-9859
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8354
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: