Individual
EDGARDO JAVIER ALBINO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 CALLE NAVARRA STE 100, PONCE, PR 00716-4806
(787) 709-4591
Mailing address
1800 CALLE NAVARRA STE 100, PONCE, PR 00716-4806
(787) 223-7776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7049
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6238319
DRIVER LICENSE
PR
Enumeration date
11/30/2022
Last updated
11/30/2022
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