Provider Demographics
NPI:1558766766
Name:CARCASSES, RAISHA IVETTE
Entity Type:Individual
Prefix:
First Name:RAISHA
Middle Name:IVETTE
Last Name:CARCASSES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUZON 95 A CALLE 2
Mailing Address - Street 2:BO.MAGUAYO PARC.EL COTTO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:939-218-7715
Mailing Address - Fax:
Practice Address - Street 1:BUZON 95 A CALLE 2
Practice Address - Street 2:BO.MAGUAYO PARC.EL COTTO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:939-218-7715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician