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Organization
MBA MEDICAL SERVICES INC
Active
Organization
MBA MEDICAL SERVICES INC
Active
Other names
FARMACIA SAN GERARDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO BOSQUE MD (PRESIDENT)
(787) 760-6604
Entity
Organization
Contact information
Practice address
358 AVE SAN CLAUDIO, CUPEY, SAN JUAN, PR 00926-4107
(787) 761-8835
(787) 292-0130
Mailing address
358 AVE SAN CLAUDIO, CUPEY, SAN JUAN, PR 00926-4107
(787) 761-8835
(787) 292-0130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07F2066
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07F2066
LICENCIA
PR
Enumeration date
10/03/2005
Last updated
08/22/2020
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