Provider Demographics
NPI:1407359037
Name:OCASIO DEL VALLE, CARLOS RAFAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:RAFAEL
Last Name:OCASIO DEL VALLE
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 1:48 MUNOZ RIVERA COND AQUABLUE
Mailing Address - Street 2:APT PH 4
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-469-5652
Mailing Address - Fax:
Practice Address - Street 1:CARR 917 KM 0.1 BO TEJAS
Practice Address - Street 2:FARMACIA RUIZ BELVIS LAS PIEDRAS
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-733-0426
Practice Address - Fax:787-733-0888
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist