Individual
LUZ MARIA GORDON ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 181 KM 9.1 BO DOS BOCAS, TRUJILLO ALTO, PR 00976
(787) 283-1920
Mailing address
AVE. DIEGO VELAZQUEZ PA1 EL CONQUISTADOR, TRUJILLO ALTO, PR 00976
(939) 226-3120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3379
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923072
LICENCIA CONDUCIR
PR
Enumeration date
02/25/2019
Last updated
02/28/2019
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