Individual
MADELINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CVS PHARMACY, 374 AVE PONCE DE LEON, SAN JUAN, PR 00918
(787) 560-5773
Mailing address
HC 57 BOX 10740, AGUADA, PR 00602-9850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006538
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006538
COLEGIO DE FARMACUTICOS DE PUERTO RICO
PR
Enumeration date
08/21/2018
Last updated
07/21/2022
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