Provider Demographics
NPI:1558856484
Name:QUINTANA CARRERO, JORGE ARNALDO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ARNALDO
Last Name:QUINTANA CARRERO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CALLE TERESA JORNET
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7517
Mailing Address - Country:US
Mailing Address - Phone:787-777-1285
Mailing Address - Fax:
Practice Address - Street 1:12 CALLE TERESA JORNET
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7517
Practice Address - Country:US
Practice Address - Phone:787-777-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-23
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist