Healthcare Provider Details

I. General information

NPI: 1851875736
Provider Name (Legal Business Name): JOHN STEVEN CURBELO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 113 R480 SAN ANTONIO
QUEBRADILLAS PR
00678
US

IV. Provider business mailing address

CALLE 113 R480 SAN ANTONIO
QUEBRADILLAS PR
00678
US

V. Phone/Fax

Practice location:
  • Phone: 787-529-3104
  • Fax:
Mailing address:
  • Phone: 787-529-3104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number010846
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: