Santos Dejesus, Ivonne M

Santos Dejesus, Ivonne M is an individual health care provider with primary practice located at Farmacia Carraizo Carr 844 Km. 5 Hm 6, Trujillo Alto PR 00928. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Santos Dejesus, Ivonne M can be contacted via phone (787) 760-2650.

Contact Information

Primary practice address
Farmacia Carraizo Carr 844 Km. 5 Hm 6 Trujillo Alto PR 00928
Phone: (787) 760-2650
Fax: (787) 760-2650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X #15614 Louisiana

Profile Details

NPI number 1326109349
LBN Legal business name Santos Dejesus, Ivonne M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326109349 NPPES
Louisiana Other #15614 LOUISIANA STATE LICENCE #
Louisiana Other 004920 LOUISIANA STATE LICENCE #

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