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Individual

MR. JUAN CARLOS ORTIZ-DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
WALGREENS 90 R BARCELO, CIDRA, PR 00739
(787) 739-4351
(787) 739-4394
Mailing address
WALGREENS 90 R BARCELO, CIDRA, PR 00739
(787) 739-4351
(787) 739-4394

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4139
PR

Other

Enumeration date
06/01/2011
Last updated
06/01/2011
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