Individual
WIDALYS AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
CARR 830 KM 0.1 BO. CERRO GORDO, CARR 167 PLAZA INTERAMERICANA, BAYAMON, PR 00961-4477
(787) 730-9626
(787) 730-9640
Mailing address
CARR 830 KM 0.1 BO. CERRO GORDO, CARR 167 PLAZA INTERAMERICANA,, BAYAMON, PR 00961-4477
(787) 730-9626
(787) 730-9640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5019
PR
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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