Individual
LISSETTE AVILES NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CPETE CLINICA INMUNOLOGICA DE CENTRO MEDICO, BO. MONCAILLOS PASEO BARBOSA, SAN JUAN, PR 00936
(787) 754-8118
(787) 754-8127
Mailing address
URB. MONTE CASINO, CALLE ALMACIGO # 261, TOA ALTA, PR 00953
(787) 251-5356
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4542
PR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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