# IRAZEMA GONZALEZ MAHIQUEZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Brazo De Oro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053434639
- **Authorized official:** IRAZEMA GONZALEZ MAHIQUEZ (OWNER)
- **Authorized official phone:** (787) 897-5398

## Contact information

- **Practice address:** CALLE DR PEDRO ALBIZU CAMPOS \#8, LARES, PR 00669
- **Practice address phone:** (787) 897-5398
- **Practice address fax:** (787) 897-5398
- **Mailing address:** PMB 214 MUNOZ RIVERA \#1, LARES, PR 00669
- **Mailing address phone:** (787) 897-5398
- **Mailing address fax:** (787) 897-5398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F1860 | PR | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/01/2008