Individual
LUIS MARRERO SOTO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 CALLE CONCEPCION VERA, MOCA, PR 00676
(787) 877-6890
Mailing address
509 CALLE CONCEPCION VERA, MOCA, PR 00676-5001
(787) 877-6890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6169
PR
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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