Individual
ANTONIO LUIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 CALLE CENTRAL, COTO LAUREL, PR 00780-2139
(787) 984-1008
Mailing address
1693 VILLA GRILLASCA JULIO C. ARTEAGA, PONCE, PR 00717
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6852
PR
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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