Healthcare Provider Details

I. General information

NPI: 1225350085
Provider Name (Legal Business Name): NOEL E AROCHO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOSE MENDEZ CARDONA #6
SAN SEBASTIAN PR
00685
US

IV. Provider business mailing address

HC 7 BOX 75403
SAN SEBASTIAN PR
00685-7300
US

V. Phone/Fax

Practice location:
  • Phone: 787-896-1850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number8072
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: