Individual
CARLOS M MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
HC 2 BOX 5377, PENUELAS, PR 00624-9606
(787) 290-1953
(787) 290-1953
Mailing address
BO.RIO CANA CARRETERA 132 KM 22.1, PONCE, PR 00731
(787) 290-1953
(787) 290-1953
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3248
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3248
LICENSE NUMBER
PR
Enumeration date
10/10/2006
Last updated
07/08/2007
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