Individual
CARMEN AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PASEO REAL DORADO C ESMERLA #S8, DORADO, PR 00646
(787) 278-4717
Mailing address
P.O. BOX 52, BAYAMON, PR 00960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3010
PR
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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