Individual
WANDA I CORDERO RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 111 KM 1.8, UTUADO, PR 00641-0659
(787) 894-2185
(787) 814-0058
Mailing address
PO BOX 659, UTUADO, PR 00641-0659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002293
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002293
PHARMACIST LICENSE
PR
Enumeration date
09/01/2009
Last updated
09/01/2009
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