Individual
JOSE M. NAZARIO BRACERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 CALLE IDILIO, MAYAGUEZ, PR 00680-4583
(939) 865-8597
Mailing address
1400 CALLE IDILIO, MAYAGUEZ, PR 00680-4583
(939) 865-8597
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
014967
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888303
NCPDP (NABP)
PR
Enumeration date
04/21/2025
Last updated
04/26/2025
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