Provider Demographics
NPI:1104466200
Name:CALDAS, ARIEL (PHD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:CALDAS
Suffix:
Gender:M
Credentials:PHD
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 1146
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-1146
Mailing Address - Country:US
Mailing Address - Phone:787-473-9888
Mailing Address - Fax:787-255-3115
Practice Address - Street 1:CARR. 101 KM 18.1
Practice Address - Street 2:
Practice Address - City:BOQUERON,
Practice Address - State:PR
Practice Address - Zip Code:00622-1146
Practice Address - Country:US
Practice Address - Phone:787-473-9888
Practice Address - Fax:787-255-3115
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist