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Organization
JESUS M. DIAZ DELGADO
Active
Organization
JESUS M. DIAZ DELGADO
Active
Other names
Farmacia San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA TOLEDO RPH (OWNER AND PIC)
(787) 895-6707
Entity
Organization
Contact information
Practice address
CARR. 113 KM 13.6, QUEBRADILLAS, PR 00678
(787) 895-6707
(787) 895-6675
Mailing address
PO BOX 1369, HATILLO, PR 00659-1369
(787) 895-6707
(787) 895-6675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
BF9444958
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038102600
—
PR
01
—
4024977
NCPDP
PR
Enumeration date
10/10/2006
Last updated
07/01/2025
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