Individual
VIVIAN MORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
ROAD 2 KM 122, AGUADILLA, PR 00603
(787) 882-7900
Mailing address
PO BOX 658, MOCA, PR 00676-0658
(787) 310-8045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4593
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4593
LICENSE NUM.
PR
Enumeration date
11/02/2007
Last updated
11/02/2007
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