Individual
LYAN MARIE PORRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1730 PR-506, COTO LAUREL, PONCE, PR 00780
(787) 840-8801
Mailing address
URB LA ALHAMBRA CALLE GRANADA 2102, PONCE, PR 00716
(787) 232-3907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006735
PR
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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