Provider Demographics
NPI:1174303176
Name:VARELA, XAVIER E SR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:E
Last Name:VARELA
Suffix:SR
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 1:904 CALLE 31 SW
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2426
Mailing Address - Country:US
Mailing Address - Phone:787-792-3196
Mailing Address - Fax:
Practice Address - Street 1:EE2 CALLE FRAILE
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8108
Practice Address - Country:US
Practice Address - Phone:787-414-3790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist