Individual
NICOLE VIERA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17000 CARR 3, CANOVANAS, PR 00729-2881
(787) 957-8050
(787) 957-8049
Mailing address
4 CALLE GRAN CANARIA, LAS PIEDRAS, PR 00771-3075
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8003
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2021
Last updated
12/19/2022
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