Individual provider · NPI-1

Taira Acevedo

Pharmacist · San Juan, PR

NPI number1073393849
StatusActive
Last updated in NPPESNov 7, 2023

Details

NPI
1073393849
Entity type
Individual (NPI-1)
Name
Taira Acevedo
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2023
Certification date
Nov 7, 2023
Last updated
Nov 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2600PRYes

Practice location

400 Ave Luis Munoz Rivera
San Juan, PR 00918-3310

Phone 787-296-8460

Mailing address

583 Estancias De Membrillo
Camuy, PR 00627

Phone 787-634-8003

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