Provider Demographics
NPI:1174499131
Name:LAUREANO CLAUDIO, FABIAN ENRIQUE (PHARMD)
Entity type:Individual
Prefix:
First Name:FABIAN
Middle Name:ENRIQUE
Last Name:LAUREANO CLAUDIO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO MONTESOL (CALLE ARECA FINAL)
Mailing Address - Street 2:APT. 1102
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-435-7839
Mailing Address - Fax:
Practice Address - Street 1:CARR. PR-172
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-653-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist