Individual
MRS. ILEANA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CENTRO COMERCIAL, MONTERCARLO LOCAL #1, SAN JUAN, PR 00924-3554
(787) 762-1616
Mailing address
MONTECARLOS SHOPPING CENTER LOCAL #1, SAN JUAN, PR 00924
(787) 762-1616
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8141
PR
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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