Individual
ANGIEMARC FUENTES-ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 AVE BARBOSA, FIRST PHARMACY HATO REY, SAN JUAN, PR 00917
(787) 764-9981
(787) 763-7646
Mailing address
HC 02 BOX 4617, LUQUILLO, PR 00773
(939) 891-0611
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7804
PR
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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