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Individual
DR. JUAN SANTOS-OLIVARES
Active
Individual
DR. JUAN SANTOS-OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4030
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417
VACCINE PROVIDER
PR
01
—
4030
STATE LICENSE
PR
Enumeration date
12/14/2005
Last updated
05/17/2021
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