Individual
NILDA SANTIAGO CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
AVE LOS PATRIOTAS KM 2.9 CARR 111, LARES, PR 00669-1423
(787) 897-1499
Mailing address
HC 1 BOX 4727, LARES, PR 00669-9619
(787) 897-2694
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9357
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9357
PHARMACY TECHNICIAN LICENSE
PR
Enumeration date
04/17/2013
Last updated
04/17/2013
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