Provider Demographics
NPI:1760195499
Name:DAR HAMED, MOHAMED RATEB (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:RATEB
Last Name:DAR HAMED
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:URB. EL ROSARIO
Mailing Address - Street 2:22 CALLE LA MILAGROSA
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-974-3869
Mailing Address - Fax:
Practice Address - Street 1:30 CALLE ANGEL GREGORIO MARTINEZ
Practice Address - Street 2:SABANA GRANDE
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-873-3333
Practice Address - Fax:787-873-1956
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty