Individual
NYDIAZ ROSA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
5776
Contact information
Practice address
1 SAN MANUEL, COROZAL, PR 00783
(787) 859-2729
Mailing address
1 CALLE SAN MANUEL, COROZAL, PR 00783
(787) 366-6139
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5776
PR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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