Healthcare Provider Details

I. General information

NPI: 1578362455
Provider Name (Legal Business Name): RICARDO ANDRES ARCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOSE MENDEZ CARDONA #3
SAN SEBASTIAN PR
00685
US

IV. Provider business mailing address

URB VILLA RITA CALLE 7 CASA K9
SAN SEBASTIAN PR
00685
US

V. Phone/Fax

Practice location:
  • Phone: 787-896-1850
  • Fax:
Mailing address:
  • Phone: 787-462-6320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number13134
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: