Provider Demographics
NPI:1518497080
Name:ALVAREZ BERRIOS, CARMEN E (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:E
Last Name:ALVAREZ BERRIOS
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:D163 REPARTO ROBLES
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705
Mailing Address - Country:US
Mailing Address - Phone:787-735-1385
Mailing Address - Fax:787-735-1355
Practice Address - Street 1:CARR 14 KM 46.5
Practice Address - Street 2:BO ASOMANTE
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-1385
Practice Address - Fax:787-735-1355
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist