Individual
MAYRA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 AVE BARAMAYA, SUITE 100, PONCE, PR 00728-2756
(787) 709-4036
(787) 709-4039
Mailing address
4225 BLVD MUNOZ, SALINAS, PR 00751-3161
(787) 709-4036
(787) 709-4039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4229
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4229
PHARMACY LICENSE
PR
Enumeration date
10/14/2015
Last updated
10/14/2015
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