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NPI Code Detail

MEDICARE: JOSE MARCOS BRUNET RIVERA

MEDICARE:   JOSE MARCOS BRUNET RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician011055PR

General Provider Information

NPI Number : 1013378017
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE MARCOS BRUNET RIVERA
Provider Business Mailing Address
First Line : PO BOX 8862
Second Line :
City : PONCE
State : PUERTO RICO
Zip : 00732
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 553 CALLE RAMOS ANTONINI
Second Line :
City : PONCE
State : PR
Zip : 00728-4806
Country : US
Telephone Number : 787-844-2805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 03/18/2016

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Directions to “ JOSE MARCOS BRUNET RIVERA ” Practice Location

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