Organization
CDT DORADO MEDICAL COMPLEX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH PEREZ RPH (PHARMACIST)
(787) 278-1576
Entity
Organization
Contact information
Practice address
349 CALLE MENDEZ VIGO, STE 10, DORADO, PR 00646-4917
(787) 278-1576
(787) 278-0936
Mailing address
349 CALLE MENDEZ VIGO, STE 10, DORADO, PR 00646-4917
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
08F2467
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025551
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/18/2007
Last updated
09/12/2007
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