Provider Demographics
NPI:1528351012
Name:CARRASCO, JOSE H (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:H
Last Name:CARRASCO
Suffix:
Gender:M
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:HC 40 BOX 43534
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-9885
Mailing Address - Country:US
Mailing Address - Phone:787-715-0501
Mailing Address - Fax:787-715-0594
Practice Address - Street 1:HC 40 BOX 43534
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-9885
Practice Address - Country:US
Practice Address - Phone:787-715-0501
Practice Address - Fax:787-715-0594
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist