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NPI Code Detail

MEDICARE: MAYRA CARRASQUILLO

MEDICARE: MAYRA CARRASQUILLO
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 Technician5934PR

General Provider Information

NPI Number : 1730340993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA CARRASQUILLO
Provider Business Mailing Address
First Line : AVE PONCE DE LEON # 715
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-3380
Country : US
Telephone Number : 787-758-2000
Fax Number : 787-771-7884
Provider Business Practice Location Address
First Line : AVE PONCE DE LEON # 715
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-3380
Country : US
Telephone Number : 787-758-2000
Fax Number : 787-771-7884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 06/20/2008

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Directions to “ MAYRA CARRASQUILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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