Individual
CARLA IVETTE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2706 AVE MARUCA, PONCE, PR 00728-4103
(787) 812-5978
(787) 812-5966
Mailing address
2706 AVE MARUCA, PONCE, PR 00728-4103
(787) 812-5978
(787) 812-5966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6325
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
865
IMMUNIZATION CERTIFICATE
PR
Enumeration date
01/05/2016
Last updated
01/05/2016
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