Individual
TEODORO MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BOULEVARD DR, BAYAMON, PR 00959-6624
(787) 993-1559
(787) 740-1702
Mailing address
100 BOULEVARD DR, BAYAMON, PR 00959-6624
(787) 993-1559
(787) 740-1702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3868
PR
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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