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NPI Code Detail

MEDICARE: MR. FELIX R. BULTRON

MEDICARE: MR. FELIX R. BULTRON
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 Technician2413PR

General Provider Information

NPI Number : 1386700060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FELIX R. BULTRON
Provider Business Mailing Address
First Line : 35-27 CALLE 16
Second Line : VILLA CAROLINA
City : CAROLINA
State : PR
Zip : 00985-5440
Country : US
Telephone Number : 787-257-8540
Fax Number : 787-257-6760
Provider Business Practice Location Address
First Line : 35-27 CALLE 16
Second Line : VILLA CAROLINA
City : CAROLINA
State : PR
Zip : 00985-5440
Country : US
Telephone Number : 787-257-8540
Fax Number : 787-257-6760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 07/08/2007

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