Individual
NAYDI MOLINA-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#86 COLOBO SEC, MEDIANIA ALTA, LOIZA, PR 00772-0370
(787) 478-4643
Mailing address
PO BOX 370, LOIZA, PR 00772-0370
(787) 478-4643
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8579
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4748471
DRIVERS LICENSE
PR
Enumeration date
04/19/2012
Last updated
04/19/2012
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