Individual
IVELISSE RIVERA-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 AVE LOS DOMINICOS # URB, CALLE 28 BLOQUE 19 # 4, BAYAMON, PR 00957-6707
(787) 450-4090
Mailing address
330 AVE LOS DOMINICOS # URB, CALLE 28 BLOQUE 19 # 4, BAYAMON, PR 00957-6707
(787) 450-4090
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7943
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7949
PHARM TEC LIC
PR
Enumeration date
11/20/2009
Last updated
11/20/2009
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