# COMERIO MEDICAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comerio Medical Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093843278
- **Authorized official:** LUIS MANUEL GONZALEZ M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 875-3136

## Contact information

- **Practice address:** STREET 778 KM 0.9, COMERIO, PR 00782-1103
- **Practice address phone:** (787) 875-3136
- **Practice address fax:** (787) 875-1434
- **Mailing address:** PO BOX 1103, BO. PASARELL, COMERIO, PR 00782-1103
- **Mailing address phone:** (787) 875-3136
- **Mailing address fax:** (787) 875-1434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07-F-2139 | PR | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020