Individual
MAYRA CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE PONCE DE LEON # 715, SAN JUAN, PR 00907-3380
(787) 758-2000
(787) 771-7884
Mailing address
AVE PONCE DE LEON # 715, SAN JUAN, PR 00907-3380
(787) 758-2000
(787) 771-7884
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5934
PR
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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