Individual
RAQUEL TRES GONZALEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 401 KM 0.9 BO PLAYA, MAYAGUEZ, PR 00610
(787) 826-6453
Mailing address
PO BOX 1058, ANASCO, PR 00610-1058
(787) 585-9312
(787) 826-6453
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
007407
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314291
CITICEN
PR
Enumeration date
05/31/2019
Last updated
05/31/2019
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