MEDICARE: OMAYRA ROBLES AGUIAR

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
1	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1174104244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAYRA ROBLES AGUIAR

Provider Business Mailing Address
First Line	:	4US32 VIA 43
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983-4855
Country	:	US
Telephone Number	:	787-550-2644
Fax Number	:

Provider Business Practice Location Address
First Line	:	8030 CALLE TARTAK
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979-5802
Country	:	US
Telephone Number	:	787-641-0153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	04/19/2021

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Directions to “ OMAYRA ROBLES AGUIAR ” Practice Location

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