Individual
ANA RITA MEDINA-BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
E2 CALLE TULIPAN, ESTANCIAS DE BAIROA, CAGUAS, PR 00727-1262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212037
VA
183500000X
Pharmacist
23187
NC
183500000X
Pharmacist
PH235149
MA
183500000X
Pharmacist
Primary
R2505
NH
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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