Basic Information
| Provider Information | |||||||||
| NPI: | 1003014895 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLORES | ||||||||
| FirstName: | CARELY | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMACIST TECHNICIA | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | EXT EL COMANDANTE CALLE SAN FERNANDO #266 | ||||||||
| Address2: | |||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00982 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876367389 | ||||||||
| FaxNumber: | 7877761148 | ||||||||
| Practice Location | |||||||||
| Address1: | EXT. EL COMANDANTE | ||||||||
| Address2: | CALLE SAN FERNANDO #266 | ||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00982 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876367389 | ||||||||
| FaxNumber: | 7877761148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183700000X | PRUSA3766 | PR | Y | Pharmacy Service Providers | Pharmacy Technician |
No ID Information.