Individual
MR. VICTOR L MAISONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 URB VALLES DE ANASCO, ANASCO, PR 00610-9601
(787) 882-7900
Mailing address
213 URB VALLES DE ANASCO, ANASCO, PR 00610-9601
(787) 882-7900
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
4196
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4196
PHARMACY TECHNICIAN
PR
Enumeration date
08/26/2010
Last updated
08/26/2010
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