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NPI Code Detail

MEDICARE: PAOLA ANDREA CARABALLO DELGADO

MEDICARE: PAOLA ANDREA CARABALLO DELGADO
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
1183700000XPharmacy Technician15714PR

General Provider Information

NPI Number : 1669153060
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA ANDREA CARABALLO DELGADO
Provider Business Mailing Address
First Line : 12 CALLE TERESA JORNET
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-7517
Country : US
Telephone Number : 787-777-1285
Fax Number : 787-777-1287
Provider Business Practice Location Address
First Line : 12 CALLE TERESA JORNET
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-7517
Country : US
Telephone Number : 787-777-1285
Fax Number : 787-777-1287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 07/27/2023

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Directions to “ PAOLA ANDREA CARABALLO DELGADO ” Practice Location

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