Individual
MS. IVONNE MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. BORINQUEN #2039, SAN JUAN, PR 00915
(787) 726-7558
(787) 727-5186
Mailing address
HC 46 BOX 5476, DORADO, PR 00646-9612
(939) 245-5328
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8869
PR
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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