Individual
EILY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 CALLE RUIZ BELVIS, CENTRO URBANO, CAGUAS, PR 00725-3510
(787) 744-1441
(787) 258-8223
Mailing address
PO BOX 1124, AGUAS BUENAS, PR 00703-1124
(787) 732-0625
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3275
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3275
LICENSE
PR
Enumeration date
01/16/2007
Last updated
07/08/2007
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