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Individual

AMANDA D SANTIAGO RIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
35 AVE LOS DOMINICOS, TOA BAJA, PR 00949-3400
(787) 795-2083
Mailing address
B7 CALLE MADRE PERLA, DORADO DEL MAR, DORADO, PR 00646-2125
(787) 249-0863

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6203
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6203
STATE LICENCE
PR
Enumeration date
09/15/2014
Last updated
09/15/2014
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