Individual
MISS GLADYS AVEZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CALLE RODRIGO DE TRIANA, SAN JUAN, PR 00918-3207
(787) 250-6203
(787) 765-1581
Mailing address
URB.BERWIND ESTATES CALLE 15-A BLQ. F-9, SAN JUAN, PR 00924
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
005557
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4141878
ELECTORAL
PR
Enumeration date
03/15/2007
Last updated
07/08/2007
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