Most Relevant Information
Provider Data
| NPI Number: | 1003343187 |
| Provider Name: | NAYDA IVETTE CARRASQUILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 4170 |
Most Important Dates
| Enumeration Date: | 05/19/2017 |
| Last Updated: | 05/19/2017 |
Provider Practice Location
HC 3 BOX 13173
CAROLINA
PR
009879621
Practice Location Phone/Fax
| Phone: | 7878631880 |
| Fax: | 7878606464 |
Provider Mailing Location
HC 3 BOX 13173
CAROLINA
PR
009879621
Provider Mailing Phone/Fax
| Phone: | 7874098391 |
| Fax: | 7878606464 |