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NPI 1760041669

NPI 1760041669 : CELESTINO ZAYAS-MORALES PHARMD : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1760041669
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    Entity Type          |    Individual 
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    Provider Name        |    CELESTINO ZAYAS-MORALES PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2019
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    Last Update Date     |    12/11/2019
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Provider Practice Location Address
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    Address Line         |    ST 172 EXIT 21 TURABO GARDENS, CARRETERA CAGUAS A CIDRA 
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00725
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    Country              |    US
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    Telephone            |    787-535-1001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1600 S ANDREWS AVE 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33316-2510
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    Country              |    US
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    Telephone            |    954-355-5553
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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       |    PS57826
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    License Number State |    FL
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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       |    57826
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    License Number State |    FL
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