Provider Demographics
NPI:1528374584
Name:ALEMAN, JUAN MANUEL
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:MANUEL
Last Name:ALEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 AVE BARAMAYA
Mailing Address - Street 2:REINA DEL SUR MALL (WALMART)
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-2756
Mailing Address - Country:US
Mailing Address - Phone:178-770-9403
Mailing Address - Fax:787-709-4039
Practice Address - Street 1:3305 AVE BARAMAYA
Practice Address - Street 2:REINA DEL SUR MALL (WALMART)
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-2756
Practice Address - Country:US
Practice Address - Phone:178-770-9403
Practice Address - Fax:787-709-4039
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21146183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician