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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 Technician79014FL

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 : 7920 MERRILL ROAD
Second Line : UNIT 1314
City : JACKSONVILLE
State : UNITED STATES
Zip : 32277
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7920 MERRILL ROAD
Second Line : UNIT 1314
City : JACKSONVILLE
State : UNITED STATES
Zip : 32277
Country : UM
Telephone Number :
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 04/09/2026

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Directions to “ JOSE MARCOS BRUNET RIVERA ” Practice Location

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