Provider Demographics
NPI:1215576392
Name:CARO-GAUTIER, ADRIANA ELISE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:ELISE
Last Name:CARO-GAUTIER
Suffix:
Gender:F
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:PO BOX 480
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0480
Mailing Address - Country:US
Mailing Address - Phone:787-648-1376
Mailing Address - Fax:
Practice Address - Street 1:PRINCIPAL STREET, KM 1.3, ROAD 865 CAMPANILLA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-794-9450
Practice Address - Fax:787-794-0620
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist