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General NPI Number Information
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NPI Number | 1275287328
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Entity Type | Individual
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Provider Name | CARLA MICHELLE QUINONES-JURGENSEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 10 CALLE CASIA
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 787-641-7584
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Fax |
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Provider Business Mailing Address
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Address Line | 530 CAMINO LOS AQUINOS APT 127
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-7904
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Country | US
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Telephone | 787-249-2290
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8260
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 8260
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License Number State | PR
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