Individual
MRS. JOHANNA I BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
CARR 149 & 584, PLAZA JUANA DIAZ, JUANA DIAZ, PR 00795-0000
(787) 260-0530
(847) 396-2784
Mailing address
6 CALLE 1, URB. TOMAS C MADURO, JUANA DIAZ, PR 00795-0000
(787) 644-1466
(847) 396-2784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004890
PR
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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