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Organization
CORP. FONDO DEL SEGURO DEL ESTADO
Active
Organization
CORP. FONDO DEL SEGURO DEL ESTADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA E. CRUZ (PHARMACY TECHNICIAN)
(787) 848-4545
Entity
Organization
Contact information
Practice address
2136 AVE, SANTIAGO DE LOS CABALLEROS, APARATADO 949, PONCE, PR 00733
(787) 848-4545
Mailing address
APARTADO #949, PONCE, AVE. SANTIAGO DE LOS CABALLEROS #2136, PONCE, P.R. 00733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
X
PR
Other
Enumeration date
05/26/2011
Last updated
07/21/2022
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