Provider Demographics
NPI:1891688917
Name:MELENDEZ CARRASQUILLO, LILIANA JULIANE
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:JULIANE
Last Name:MELENDEZ CARRASQUILLO
Suffix:
Gender:F
Credentials:
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 361
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0361
Mailing Address - Country:US
Mailing Address - Phone:787-374-8600
Mailing Address - Fax:
Practice Address - Street 1:150 CARR 857
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-2277
Practice Address - Country:US
Practice Address - Phone:787-701-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist