Individual
MR. JOSE G MATOS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 CALLE MENDEZ VIGO, DORADO, PR 00646
(787) 796-1155
(787) 796-8747
Mailing address
PO BOX, 461, DORADO, PUERTO RICO 00646
(787) 796-1155
(787) 796-8747
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9770
PR
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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