Individual
REINALDO COLON-LLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PASEO DEL REY, APT. I-502, CAROLINA, PR 00987
(939) 639-3862
Mailing address
PASEO DEL REY, APT. I-502, CAROLINA, PR 00987
(939) 639-3862
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8099
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4566389
DRIVERS LICENSE
PR
Enumeration date
04/09/2012
Last updated
04/09/2012
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