Individual
CELIMAR FUENTES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MONTECASINO HTS, 100 CALLE RIO JAJOME, TOA ALTA, PR 00953
(787) 371-8413
Mailing address
MONTECASINO HTS, 100 CALLE RIO JAJOME, TOA ALTA, PR 00953
(787) 371-8413
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
003431
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8570122
CASA MAMI
—
Enumeration date
09/04/2019
Last updated
09/04/2019
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