Individual
MRS. WILMARIE CERVONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
963 MUNOZ RIVERA ST., PENUELAS, PR 00624
(787) 836-2173
(787) 836-6102
Mailing address
PO BOX 560615, GUAYANILLA, PR 00656-0615
(787) 415-1668
(787) 835-6681
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5937
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5937
CPHT
PR
Enumeration date
06/05/2007
Last updated
07/08/2007
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