Provider Demographics
NPI:1801936273
Name:FELICIANO, RAQUEL GARCIA (AUXILLAR DE FARMACIA)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:GARCIA
Last Name:FELICIANO
Suffix:
Gender:F
Credentials:AUXILLAR DE FARMACIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO DOMINGUITO PARCELAS MATTEY CALLE F 167 A
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-817-6811
Mailing Address - Fax:787-816-2156
Practice Address - Street 1:VICTOR ROJAS #2
Practice Address - Street 2:CARR 129 ZONA INDUSTRIAL
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-816-2156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3068183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician