Provider Demographics
NPI:1104969799
Name:OCASIO, CARLOS RAFAEL (BACHIDERATO)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:RAFAEL
Last Name:OCASIO
Suffix:
Gender:M
Credentials:BACHIDERATO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FARMACIA RUIZ BELVIS #6
Mailing Address - Street 2:RAFAEL CORDERO #17
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-315-2056
Mailing Address - Fax:
Practice Address - Street 1:FARMACIA RUIZ BELVIS #6
Practice Address - Street 2:RAFAEL CORDERO #17
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-315-2056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2706183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist