Individual
HILDA L. VEGA-DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EASTERN REGIONAL SHOPPING CENTER, CARRETERA #3, FAJARDO, PR 00738
(787) 863-3518
(787) 860-1280
Mailing address
59 CALLE PRINCIPAL, PO BOX 23 PALMER, RIO GRANDE, PR 00721-0023
(787) 863-3518
(787) 860-1280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2721
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2721
STATE LICENSE
PR
Enumeration date
03/14/2014
Last updated
03/14/2014
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