Individual
JESUS MANUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 CALLE FLOR DE SIERRA, URB HACIENDA REAL, CAROLINA, PR 00987-9781
(787) 922-1544
Mailing address
PBOX 1322, CAROLINA, PR 00987
(787) 922-1544
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5826
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5826
PHARMACY TECHNICIAN LICENSE
PR
Enumeration date
09/04/2012
Last updated
09/04/2012
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