Individual
CORAL D MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2097 AVE HOSTOS, MAYAGUEZ, PR 00682-6440
(787) 805-4805
(787) 805-4010
Mailing address
2097 AVE HOSTOS, MAYAGUEZ, PR 00682-6440
(787) 805-4805
(787) 805-4010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5567
PR
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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