Individual
TATIANA MARIN ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH
Contact information
Practice address
104 CALLE FONT MARTELO E STE 1, HUMACAO, PR 00791-3946
(787) 850-9246
(787) 285-4095
Mailing address
D49 CALLE YAGRUMO, VISTA VERDE, NAGUABO, PR 00718
(787) 668-4283
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9610
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6015022
DRIVERS LICENSE
PR
Enumeration date
09/08/2016
Last updated
09/08/2016
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