Individual
JONATHAN GABRIEL MEDINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
PO BOX 309, SAN ANTONIO, PR 00690-0309
(787) 969-6156
Mailing address
PO BOX 309, SAN ANTONIO, PR 00690-0309
(787) 969-6156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8154
PR
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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