Individual
MR. LUIS FERNANDO RIVERA-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
DK5 CALLE CERROS, RIO HONDO 4, BAYAMON, PR 00961-3303
(787) 964-2861
Mailing address
DK5 CALLE CERROS, RIO HONDO 4, BAYAMON, PR 00961-3303
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8659
PR
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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