Individual
JOSE R MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
121 CALLE GARDENIA, ESTANCIAS DE LA FUENTE, TOA ALTA, PR 00953-3684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4002
PR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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