Organization
FARMACIA DORAVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD DIAZ MATEO (OWNER)
(787) 796-3310
Entity
Organization
Contact information
Practice address
1-1#14 URB DORAVILLE, FARMACIA DORAVILLE, DORADO, PR 00646-5908
(787) 796-3310
(787) 796-3310
Mailing address
1-14 SECTION 1 URB DORAVILLE, FARMACIA DORAVILLE, DORADO, PR 00646-5908
(787) 796-3310
(787) 796-3310
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1485164
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1485164
P R DRIVERS LICENCE
PR
Enumeration date
03/21/2007
Last updated
08/22/2020
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