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Individual

MS. OLGA DOMENECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PISOS DE CAPARRA, 14 CALLE MILAN APT. 4C, GUAYNABO, PR 00966-1917
(787) 436-5905
Mailing address
PISOS DE CAPARRA, 14 CALLE MILAN APT. 4C, GUAYNABO, PR 00966-1917

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1532
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZUA0012345817414
TRIPLE-S SALUD
PR
Enumeration date
03/21/2013
Last updated
03/21/2013
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