Individual
FERNANDO LUIS CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 AVE PONCE DE LEON, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
PO BOX 1468, COAMO, PR 00769-1468
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3732
PR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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