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NPI Code Detail

MEDICARE: DR. KAREN MICHELLE VALLADARES PHARMD.

MEDICARE: DR. KAREN MICHELLE VALLADARES 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
1183500000XPharmacist6179PR
21835P1200XPharmacotherapy Pharmacist6179PR

General Provider Information

NPI Number : 1720458243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN MICHELLE VALLADARES PHARMD.
Provider Business Mailing Address
First Line : 2030 BLVD LUIS A FERRE
Second Line :
City : PONCE
State : PR
Zip : 00717-0783
Country : US
Telephone Number : 787-709-4774
Fax Number :
Provider Business Practice Location Address
First Line : 2030 BLVD LUIS A FERRE
Second Line :
City : PONCE
State : PR
Zip : 00717-0783
Country : US
Telephone Number : 787-709-4774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2015
Last Update Date : 09/26/2015

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