Individual
MARIELIS MEDINA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17705 CARRETERA #2 EDIFICIO #2, AGUADILLA, PR 00603
(787) 819-3930
(787) 819-3938
Mailing address
PO BOX 175, QUEBRADILLAS, PR 00678-0175
(178) 741-5026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006780
PR
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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