Individual
IVELLISSE ALDARONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2916 AVE MILITAR, ISABELA, PR 00662-4060
(787) 830-3189
(787) 830-1573
Mailing address
2916 AVE MILITAR, ISABELA, PR 00662-4060
(787) 830-3189
(787) 830-1573
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5313
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126128
CERTIFICATE OF REGISTRATION
PR
Enumeration date
01/15/2020
Last updated
01/15/2020
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