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Individual

LIZETTE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103GMO. ESTEVES ST, JAYUYA, PR 00664
(787) 828-0755
(787) 828-6908
Mailing address
103 CALLE GMO ESTEVES, JAYUYA, PR 00664-1457
(787) 828-0755
(787) 828-6908

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3859
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20F2670
HEALTH DEPARTMENT
PR
01
DF030809
ASSMCA
PR
Enumeration date
07/10/2006
Last updated
03/07/2023
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