Individual
ANA MARIE TIRADO-MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BAXTER, CAPARRA HEIGHT STATION, SAN JUAN, PR 00922-2131
(787) 568-3255
Mailing address
ARAGON #2, TERRALINDA, CAGUAS, PR 00726
(787) 568-3255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4326
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1905581
DRIVER LICENSE
PR
01
—
4326
PHARMACIST LICENSE
PR
Enumeration date
05/18/2007
Last updated
07/08/2007
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