Individual
FABIOLA R MEDINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1115 AVE 65 INFANTERIA, SAN JUAN, PR 00924-3489
(787) 768-4700
Mailing address
36 CALLE NEVAREZ APT 16C, SAN JUAN, PR 00927-4536
(787) 241-8829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8027
PR
Other
Enumeration date
12/16/2022
Last updated
01/04/2023
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