# GONZALEZ NEGRIN CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Santa Isidra
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093939415
- **Authorized official:** RICHARD NEGRIN (CO-OWNER)
- **Authorized official phone:** (787) 461-9332

## Contact information

- **Practice address:** CALLE UNION 1 ESQ SANTA ISIDRA, FAJARDO, PR 00738-4758
- **Practice address phone:** (787) 863-2070
- **Practice address fax:** (787) 860-6111
- **Mailing address:** CALLE UNION 1 ESQ URB SANTA ISIDRA, FAJARDO, PR 00738-4758
- **Mailing address phone:** (787) 863-2070
- **Mailing address fax:** (787) 860-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17F2752 | PR | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 03/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2123326 | PK | — |