Provider Demographics
NPI:1245878701
Name:ARCELAY FELICIANO, LESLEY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:
Last Name:ARCELAY FELICIANO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2237
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-2237
Mailing Address - Country:US
Mailing Address - Phone:787-826-7777
Mailing Address - Fax:
Practice Address - Street 1:CARR 402 KM 2.9 BO QUEBRADA LARGA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist