Carraquillo Rosa, Tatiana Ivelisse

Carraquillo Rosa, Tatiana Ivelisse is an individual health care provider with primary practice located at Bo Ceiba Norte Carr 31 Km 24.5, Juncos PR 00777. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Carraquillo Rosa, Tatiana Ivelisse can be contacted via phone (787) 705-2239.

Contact Information

Primary practice address
Bo Ceiba Norte Carr 31 Km 24.5 Juncos PR 00777
Phone: (787) 705-2239
Fax: (888) 580-6779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 12056 Puerto Rico

Profile Details

NPI number 1114488749
LBN Legal business name Carraquillo Rosa, Tatiana Ivelisse
Credentials CPTH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Mar 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114488749 NPPES
Puerto Rico Other 6564767 DRIVER'LICENCE

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