Provider Demographics
NPI:1922733203
Name:CARDONA-CORREA, ALBIN ANTONIO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALBIN
Middle Name:ANTONIO
Last Name:CARDONA-CORREA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB INDUSTRIAL REPARADA
Mailing Address - Street 2:CALLE DC. LUIS F SALAS GOENAGA #396
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732
Mailing Address - Country:US
Mailing Address - Phone:787-259-3946
Mailing Address - Fax:
Practice Address - Street 1:URB INDUSTRIAL REPARADA
Practice Address - Street 2:CALLE DC. LUIS F SALAS GOENAGA #396
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732
Practice Address - Country:US
Practice Address - Phone:787-259-3946
Practice Address - Fax:787-841-7101
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist