Individual
MARIA NILSA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 CALLE LUIS H LACOMBA, HATILLO, PR 00659-1838
(787) 898-3343
(787) 262-0964
Mailing address
HC 1 BOX 4826, CAMUY, PR 00627-9645
(787) 820-4136
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1461
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1766450
DRIVERS LICENSE
PR
Enumeration date
08/07/2007
Last updated
08/07/2007
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