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NPI Code Detail

MEDICARE: MARISOL DIAZ FLORES PHARMD

MEDICARE:   MARISOL  DIAZ FLORES  PHARMD
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
1183500000XPharmacist6937PR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist6937PR

General Provider Information

NPI Number : 1669128161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISOL DIAZ FLORES PHARMD
Provider Business Mailing Address
First Line : PO BOX 10276
Second Line :
City : SAN JUAN
State : PR
Zip : 00922-0276
Country : US
Telephone Number : 787-585-2905
Fax Number :
Provider Business Practice Location Address
First Line : 997 CALLE SAN ROBERTO
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-2759
Country : US
Telephone Number : 787-585-2905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2022
Last Update Date : 04/06/2022

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Directions to “ MARISOL DIAZ FLORES PHARMD” Practice Location

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