Individual
IVELISSE BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
MANUEL PAVIA AVE., #615, SAN JUAN, PR 00909
(787) 722-3600
(787) 722-6555
Mailing address
MANUEL PAVIA AVE., #615, SAN JUAN, PR 00909
(787) 722-3600
(787) 722-6555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4013
PR
Other
Enumeration date
02/22/2007
Last updated
04/11/2017
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