Individual provider · NPI-1

Coralis Aviles Portalatin

Pharmacist · Guaynabo, PR

NPI number1477295202
StatusActive
Last updated in NPPESDec 4, 2024

Details

NPI
1477295202
Entity type
Individual (NPI-1)
Name
Coralis Aviles Portalatin
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2022
Certification date
Dec 4, 2024
Last updated
Dec 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist8304PRYes

Practice location

35 Calle Juan C Borbon Ste 77
Df02400-0
Guaynabo, PR 00969

Phone 787-287-3725 · Fax 787-287-3711

Mailing address

Po Box 1467
Sabana Hoyos, PR 00688-1467

Phone 787-205-2026

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