Healthcare Provider Details

I. General information

NPI: 1891657177
Provider Name (Legal Business Name): KARELYS FERNANDEZ QUINTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 CARR 167 STE #1
TOA ALTA PR
00953
US

IV. Provider business mailing address

398 CALLE JARDIN LIBERTAD
TOA ALTA PR
00953-3646
US

V. Phone/Fax

Practice location:
  • Phone: 787-545-3191
  • Fax:
Mailing address:
  • Phone: 787-632-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8535
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: