Individual
JACLYN I MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
AVE EL JIBARO KM 3.3, ZONA INDUSTRIAL, CIDRA, PR 00739
(787) 739-1251
Mailing address
PO BOX 1862, CIDRA, PR 00739-1862
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5426
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5426
STATE LICENSE
—
Enumeration date
07/19/2019
Last updated
07/19/2019
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