Individual
DR. JUAN SANTOS-OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM D
Contact information
Practice address
553 CALLE RAMOS ANTONINI, EL TUQUE, PONCE, PR 00728-4806
(787) 844-2805
(787) 841-5551
Mailing address
A18 CALLE PALMA REAL, VILLAS DEL SAGRADO CORAZON, PONCE, PR 00716
(787) 647-0590
(787) 841-5551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4030
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417
VACCINE PROVIDER
PR
01
—
4030
STATE LICENSE
PR
Enumeration date
12/14/2005
Last updated
05/17/2021
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