Provider Demographics
NPI:1053905307
Name:MERCEDES CHALAS, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MERCEDES CHALAS
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 1:330 CALLE RUIZ BELVIS
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-2123
Mailing Address - Country:US
Mailing Address - Phone:787-422-0175
Mailing Address - Fax:
Practice Address - Street 1:65TH INFANTRY SH. CTR -DF 00253-5
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-767-1636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician