Individual
ELISA F VIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 181 KM 9.1, BO DOS BOCAS, TRUJILLO ALTO, PR 00976
(787) 283-1920
(787) 755-3278
Mailing address
HC 645 BOX 5198, PMB 101, TRUJILLO ALTO, PR 00976
(787) 283-1920
(787) 755-3278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3187
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187229
DRIVER LICENSE
PR
Enumeration date
05/15/2019
Last updated
05/15/2019
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