# LUIS MARTINEZ GONZALEZ INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA DEL CARMEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306906433
- **Authorized official:** RICHARD NEGRIN (MGR)
- **Authorized official phone:** (787) 748-0880

## Contact information

- **Practice address:** CARR 844 KM 3 CUPEY BAJO, RIO PIEDRAS, PR 00926
- **Practice address phone:** (787) 748-0880
- **Practice address fax:** (787) 760-1399
- **Mailing address:** RR 18 BOX 1390, SAN JUAN, PR 00926-9821
- **Mailing address phone:** (787) 748-0880
- **Mailing address fax:** (787) 760-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17F0920 | PR | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2084229 | PK | — |