MEDICARE: NATANAEL DAVID FELICIANO VARGAS 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	8024	PR

General Provider Information

NPI Number	:	1750093746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATANAEL DAVID FELICIANO VARGAS PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 453
Second Line	:
City	:	HATILLO
State	:	PR
Zip	:	00659-0453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	RD 130 KM 4.9
Second Line	:
City	:	HATILLO
State	:	PR
Zip	:	00659-0065
Country	:	US
Telephone Number	:	787-898-5730
Fax Number	:

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

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	12/21/2022

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