Individual
MRS. IVELISSE SANTIAGO-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 AVE JESUS T PINERO, SAN JUAN, PR 00921-1819
(787) 782-6129
(787) 749-9077
Mailing address
#1 475 RR 8860 BOX 2062, COND. PATIO SEVILLANO, TRUJILLO ALTO, PR 00976
(787) 782-6129
(787) 749-9077
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5436
PR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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