Individual
NELSON JUAN RODRIGUEZ MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
685 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3920
(787) 294-1730
Mailing address
685 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3920
(787) 294-1730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6884
PR
183500000X
Pharmacist
PR70177
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241077
ORCPS
PR
01
—
6884
JUNTA DE FARMACIA DE PUERTO RICO
PR
01
—
910635
NABP
—
01
—
PR70177
MAINE BOARD OF PHARMACY
ME
Enumeration date
05/28/2021
Last updated
05/28/2021
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