Individual
CORALIZ JUDITH RIVERA CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 CALLE MENDEZ VIGO, DORADO, PR 00646-4904
(787) 796-1155
(787) 796-8747
Mailing address
PO BOX 2094, VEGA ALTA, PR 00692-2094
(787) 910-3229
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
013427
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013427
LICENCIA
PR
Enumeration date
06/02/2021
Last updated
06/02/2021
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