MEDICARE: MRS. GLORIVEE CORTES R.P.H.

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	183500000X	Pharmacist	4712	PR

General Provider Information

NPI Number	:	1346249687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLORIVEE CORTES R.P.H.

Provider Business Mailing Address
First Line	:	HC 6 BOX 67554
Second Line	:
City	:	AGUADILLA
State	:	PR
Zip	:	00603-9856
Country	:	US
Telephone Number	:	787-891-9044
Fax Number	:	787-826-4400

Provider Business Practice Location Address
First Line	:	59 CALLE DAGUEY
Second Line	:
City	:	ANASCO
State	:	PR
Zip	:	00610-2602
Country	:	US
Telephone Number	:	787-229-1313
Fax Number	:	787-826-7384

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	01/02/2020

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