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Individual

DR. ILIA I HUERTAS VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
AB1 CALLE REINA ISABEL, AVE. BAIROA, CAGUAS, PR 00725-1565
(787) 662-0519
Mailing address
V2 CALLE 65, URB.BAIROA PARK, CAGUAS, PR 00727-1232
(787) 662-0519
(787) 662-0519

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
2544
PR
208D00000X
General Practice Physician
Primary
13588
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2544
PHARMACIST
PR
Enumeration date
07/12/2005
Last updated
08/16/2011
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