MEDICARE: DR. OSVALDO ANDRES ANTOMMATTEI 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	6473	PR

General Provider Information

NPI Number	:	1578060679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSVALDO ANDRES ANTOMMATTEI PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 10567
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732-0567
Country	:	US
Telephone Number	:	787-599-2539
Fax Number	:

Provider Business Practice Location Address
First Line	:	198 AVE ESMERALDA
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4448
Country	:	US
Telephone Number	:	787-790-0680
Fax Number	:	787-790-7010

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

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	05/21/2026

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