Individual
IBIS L LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CALLE FRANCISCO M QUINONEZ, SABANA GRANDE, PR 00637-1945
(787) 873-0198
(787) 873-3166
Mailing address
16 CALLE FRANCISCO M QUINONEZ, SABANA GRANDE, PR 00637-1945
(787) 873-0198
(787) 873-3166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2773
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2773
LICENSE NUMBER
PR
Enumeration date
07/14/2006
Last updated
07/08/2007
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