Individual
JORGE L ALLENDE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 CALLE 12, FAJARDO, PR 00738-4011
(787) 863-1475
Mailing address
PO BOX 1981, LOIZA, PR 00772-1981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006983
PR
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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