Individual
MRS. LOURDES MILAGROS FORNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, MPH
Contact information
Practice address
CPTET-CLINICA DE INMUNOLOGIA CENTRO MEDICO, BO. MONACILLOS, SAN JUAN, PR 00936
(787) 754-8118
(787) 754-8127
Mailing address
PO BOX 778, PUEBLO STATION, CAROLINA, PR 00986
(787) 750-7301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3321
PR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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