| Doctor Name: | ELGA ENID MATOS |
| NPI Number: | 1427416239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMACY TECHNICIAN |
| License Number: | 9680 |
| Business Practice Address: | 819 Ave Roberto Sanchez Vilella Urb. Country Club San Juan, PR - 009242568 |
| Business Phone Number: | 7877623200 |
| Business Fax Number: | |
| Mailing Address: | 819 Ave Roberto Sanchez Vilella, Urb. Country Club SAN JUAN |
| State: | PR |
| Postal Code: | 009242568 |
| Phone Number: | 7877623200 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 9680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |