Individual
CHARLENE COTTO - TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 B ST, JWB10, COUNTRY CLUB, CAROLINA, PR 00982
(787) 225-9862
Mailing address
227 B ST, JWB10, COUNTRY CLUB, CAROLINA, PR 00982
(787) 225-9862
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6359
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4549885
DRIVERS LICENSE
PR
Enumeration date
04/19/2012
Last updated
04/19/2012
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