Individual
NICOLLE MICHELLE RIVERA- MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE GUILLERMO ESTEVES 103, JAYUYA, PR 00664
(787) 828-0755
Mailing address
ALTS. DE BORINQUEN, 6219 CALLE BUREN, JAYUYA, PR 00664-9500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006513
PR
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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