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NPI Code Detail

MEDICARE: MR. MIGUEL J VENTURA

MEDICARE: MR. MIGUEL J VENTURA
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 Technician2609PR

General Provider Information

NPI Number : 1447391578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MIGUEL J VENTURA
Provider Business Mailing Address
First Line : 1168 CALLE LUIS NEC
Second Line : COUNTRY CLUB
City : SAN JUAN
State : PR
Zip : 00924-2421
Country : US
Telephone Number : 787-769-9117
Fax Number :
Provider Business Practice Location Address
First Line : 851 CALLE LAFAYETTE
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2627
Country : US
Telephone Number : 787-724-3307
Fax Number : 787-721-4165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ MR. MIGUEL J VENTURA ” Practice Location

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