# CENTRO ARARAT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C A Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003134602
- **Authorized official:** JUAN RIVERA PHARM.D. (CEO)
- **Authorized official phone:** (787) 284-5884

## Contact information

- **Practice address:** 8169 CALLE CONCORDIA STE 410, COND SAN VICENTE, PONCE, PR 00717-1567
- **Practice address phone:** (787) 284-4488
- **Practice address fax:** (787) 284-4445
- **Mailing address:** 8169 CALLE CONCORDIA STE 412, COND. SAN VICENTE, PONCE, PR 00717-1567
- **Mailing address phone:** (787) 284-4488
- **Mailing address fax:** (787) 284-4445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336M0002X | Mail Order Pharmacy | — | — | — |
| 3336S0011X | Specialty Pharmacy | 20-F-2842 | PR | Yes |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2124873 | PK | — |