Most Relevant Information
Provider Data
| NPI Number: | 1003035700 |
| Provider Name: | IVELISSE BLASINI RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 4289 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
STATE 149 & STATE 584
PLAZA JUANA DIAZ CARR.14 INR.CARR, 584
JUANA DIAZ
PR
00795
Practice Location Phone/Fax
| Phone: | 7872601544 |
| Fax: | 7872601544 |
Provider Mailing Location
STATE 149 & STATE 584
JUANA DIAZ
PR
00795
Provider Mailing Phone/Fax
| Phone: | 7872601544 |
| Fax: | 7872601544 |