Provider Demographics
NPI:1770027054
Name:CARRION, VALERIE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:CARRION
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:CARR 183 KM 1 BO HATO
Mailing Address - Street 2:SAN LORENZO SHOPPING CENTER
Mailing Address - City:SAN LORENZO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00754
Mailing Address - Country:UM
Mailing Address - Phone:939-243-7470
Mailing Address - Fax:
Practice Address - Street 1:CARR 183 KM 1 BO HATO
Practice Address - Street 2:SAN LORENZO SHOPPING CENTER
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-715-1770
Practice Address - Fax:787-715-1771
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8441183700000X
TX255682183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1215250238OtherPHARMACY