Individual
MR. JUAN M ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2428 CALLE LOIZA, PUNTA LAS MARIAS, SAN JUAN, PR 00913-4731
(787) 726-0295
(787) 726-8768
Mailing address
301 CALLE JEREZ, EMBALSE SAN JOSE, SAN JUAN, PR 00923-1761
(787) 726-0295
(787) 726-8768
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3326
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3326
PHARMACY TECHNICIAN
PR
Enumeration date
02/06/2007
Last updated
07/08/2007
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