Nicolle Michelle Rivera- Medina
Pharmacist in Jayuya, PR. Individual provider (NPI-1).
NPI number1407345366
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1407345366
- Entity type
- Individual (NPI-1)
- Name
- Nicolle Michelle Rivera- Medina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 006513 | PR | Yes |
Practice location
Calle Guillermo Esteves 103Jayuya, PR 00664
Phone 787-828-0755
Mailing address
Alts. De Borinquen6219 Calle Buren
Jayuya, PR 00664-9500
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