Individual
JOMAR ALEXIS MEDINA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 PR-693, DORADO, PR 00646
(787) 278-5811
Mailing address
CALLE SAN AGUSTIN B39, URB. LOS DOMINICOS, BAYAMON, PR 00957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08256
PR
Other
Enumeration date
07/17/2023
Last updated
05/24/2024
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