=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598240624
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CRISTINA ANDREA OCASIO PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2018
-----------------------------------------------------
Last Update Date | 09/25/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 181 KM 1.0 BARRIO QUEMADOS FARMACIA RUIZ BELVIS DE SAN LORENZO
-----------------------------------------------------
City | SAN LORENZO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-715-3800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17 CALLE RAFAEL CORDERO
-----------------------------------------------------
City | CAGUAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00725-2541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-715-3800
-----------------------------------------------------
Fax | 787-715-3729
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 6434
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------