Individual
JOSE FAURA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 X12 STREET, SANTA JUANA II, CAGUAS, PR 00725
(787) 745-8917
Mailing address
15 X12 STREET, SANTA JUANA II, CAGUAS, PR 00725
(787) 745-8917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1566
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1566
LICENSE
PR
Enumeration date
04/20/2007
Last updated
07/08/2007
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