Individual
MS. MARIA ENILDA LASANTA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH
Contact information
Practice address
BO. ACHIOTE SECT. DESVIO, NARANJITO, PR 00719-0422
(787) 869-1290
(787) 869-3430
Mailing address
PO BOX 422, NARANJITO, PR 00719-0422
(787) 869-1290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2601
PR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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