Individual
IVELISSE MENDEZ GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORPORACION DEL FONDO DEL SEGURO DEL ESTADO, CARR #3, 65TH INFANTERIA SECTOR COMUNIDAD ESCORIAL, CAROLINA, PR 00985
(787) 757-6850
Mailing address
PMB 2275, PO BOX 6029, CAROLINA, PUERTO RICO 00984
(787) 550-7860
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
002765
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4214329
DRIVERS LICENCE
PR
Enumeration date
04/23/2012
Last updated
04/23/2012
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