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NPI Code Detail

MEDICARE: ABNERIS MARIE COLON AQUINO

MEDICARE: ABNERIS MARIE COLON AQUINO
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
1183500000XPharmacist8287PR

General Provider Information

NPI Number : 1174278337
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABNERIS MARIE COLON AQUINO
Provider Business Mailing Address
First Line : URB PLAZA DE LAS FUENTES 1012 CALLE ITALIA
Second Line :
City : TOA ALTA
State : PR
Zip : 00953
Country : US
Telephone Number : 787-245-1248
Fax Number :
Provider Business Practice Location Address
First Line : 12 CALLE TERESA JORNET
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-7517
Country : US
Telephone Number : 787-777-1285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 10/26/2024

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Directions to “ ABNERIS MARIE COLON AQUINO ” Practice Location

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