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Individual

MRS. VILMA RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD.

Contact information

Practice address
CALLE TAPIA #300 ESQ. GILBERTO MONROIG, SANTURCE, PR 00912
(787) 982-6969
Mailing address
VILLENA NE-13 MANSION DEL RIO, TOA BAJA, PR 00949
(787) 647-7852

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3310
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3310
PHARMACIST STATE LICENSE
PR
Enumeration date
05/23/2013
Last updated
05/23/2013
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