Individual
MRS. AIDA LIZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 185 KM 12 7 BO CEDROS, CAROLINA, PR 00987
(787) 768-0500
(787) 768-0500
Mailing address
HC 1 BOX 11824, CAROLINA, PR 00987
(787) 768-0500
(787) 768-0500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09-F1401
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4020501
NAVP
PR
Enumeration date
05/03/2007
Last updated
07/08/2007
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