Individual
IVELISSE SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
CARR #2 COLINA REAL, 100 LAS COLINAS, TOA BAJA, PR 00951-0000
(787) 627-3543
Mailing address
ESTANCIAS DE CERRO GORDO PLAZA TIFANY, 24, VEGA ALTA, PR 00692-9118
(787) 627-3543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5087
PR
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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