Individual
RUT E CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE CASIMIRO VILLEGAS, SECTOR PIEDRAS BLANCAS, GAUYANABO, PR 00970-3756
(609) 271-1163
Mailing address
PO BOX 3756, GUAYNABO, PR 00970-3756
(609) 271-1163
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8437
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4666402
DRIVERS LICENCE
PR
Enumeration date
08/11/2015
Last updated
08/11/2015
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