Individual
IDALIDES PENA-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
105 CARR 31, NAGUABO, PR 00718-2123
(787) 874-8200
(787) 874-8209
Mailing address
1 CALLE GOYCO, NAGUABO, PR 00718-2253
(787) 313-4842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4479
PR
Other
Enumeration date
05/25/2011
Last updated
12/01/2022
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