MEDICARE: ALEXANDRA LIZ PRIETO ESTRADA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8467	PR

General Provider Information

NPI Number	:	1518822162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA LIZ PRIETO ESTRADA PHARMD

Provider Business Mailing Address
First Line	:	BA28 JOAQUIN BOSCH 5TA SECC
Second Line	:	LEVITTOWN
City	:	TOA BAJA
State	:	PR
Zip	:	00949
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6XC2 772, PR-172, CAGUAS, 00727, PUERTO RICO
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727
Country	:	US
Telephone Number	:	787-653-0550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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