Individual
MARITZA CARDONA-MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
AVE JESUS T PINEDO 280 SUIT B, CVS SPECIALTY PHARMACY, RIO PIEDRAS, PR 00927
(787) 759-4018
Mailing address
PMB 112 BOX 5005, SAN LORENZO, PR 00754
(787) 759-4018
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2198
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2198
STATE
PR
Enumeration date
08/20/2008
Last updated
08/20/2008
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