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Individual

JOSE ALFREDO PADILLA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHTC

Contact information

Practice address
5074 CALLE EXODO, EXTENSION ELIZABETH, CABO ROJO, PR 00623-4970
(787) 851-1250
Mailing address
URB. ELIZABETH EXODO ST. 5074, PUERTO REAL, CABO ROJO, PR 00623-4970
(787) 851-1250

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
006038
PR

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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