MEDICARE: DR. CARMEN PILAR RESTO PHARM D

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	2207	PR

General Provider Information

NPI Number	:	1619098761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN PILAR RESTO PHARM D

Provider Business Mailing Address
First Line	:	248 CAMINO DE LOS GIRASOLES
Second Line	:
City	:	GURABO
State	:	PR
Zip	:	00778-5238
Country	:	US
Telephone Number	:	787-410-3306
Fax Number	:	787-999-4052

Provider Business Practice Location Address
First Line	:	BO. MONACILLO CENTRO MEDICO
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00919-0000
Country	:	US
Telephone Number	:	787-763-4149
Fax Number	:	787-999-4052

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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