Individual
MARIA MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CARR 181 TRUJILLO ALTO PLAZA KMART PHARMACY, TRUJILLO ALTO, PR 00976
(787) 755-7710
Mailing address
675 C/ SERGIO C BUSTAMANTE, COND TORRE DEL CARDENAL APT 40, SAN JUAN, PR 00918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005566
PR
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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