Lidia Jusino

Individual provider Active NPI Pharmacy Technician · Hormigueros, PR

NPI 1033320429 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033320429
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
3464 (PR)
Practice address
Plaza Monserrate I
Carr 345 KM 2.1
Hormigueros, PR 00660
Phone
(787) 849-0749
Fax
(787) 849-3010
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3464PRMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 3464 PR Yes

Addresses

Primary practice location

Plaza Monserrate I
Carr 345 KM 2.1
Hormigueros, PR 00660

Mailing address

HC 9 Box 3999
Sabana Grande, PR 00637-9615
Phone (787) 873-2866

Other providers in Hormigueros, PR

All providers in Hormigueros, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.