Individual
MAYTE LUCIELE VIZCARRONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE IGNACIO ARZUAGA #5-E, CAROLINA, PR 00985
(787) 769-0058
(787) 768-0855
Mailing address
107 COND ANDALUCIA APT 3103, CAROLINA, PR 00987-2326
(787) 630-7989
(787) 768-0855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5103
PR
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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