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Individual

BLADIMIR HERRERA PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
374 AVE PONCE DE LEON, SAN JUAN, PR 00918-2024
(787) 238-5501
Mailing address
200 AVE JESUS T PINERO APT 9L, SAN JUAN, PR 00918-4137
(787) 238-5501

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7039
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7039
HEALTH DEPARTMENT
PR
Enumeration date
08/10/2022
Last updated
08/10/2022
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