Individual
MARICELIS CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM TECHNICIAN
Contact information
Practice address
HOSPITAL INDUSTRIAL, CENTRO MEDICO DE RIO PIEDRAS, SAN JUAN, PR 00936-5028
(787) 754-2525
(787) 282-7426
Mailing address
HC 03 BOX38146, CAGUAS, PR 00725-9720
(787) 754-2525
(787) 282-4726
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6315
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DRIVER LICENSE
4488759
PR
Enumeration date
04/23/2012
Last updated
04/23/2012
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