Individual
MRS. IVELISSE CRUZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST TECHN
Contact information
Practice address
142 CALLE CARAZO, GUAYNABO, PR 00969-6408
(787) 720-2934
(787) 789-2920
Mailing address
PO BOX 1189, BAYAMON, PR 00960-1189
(787) 510-1471
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3379
PR
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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