# CONCILIO DE SALUD INTEGRAL DE LOIZA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONCILIO DE SALUD INTEGRAL DE LOIZA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396758686
- **Authorized official:** IRMA ALVAREZ (PHARMACIST)
- **Authorized official phone:** (787) 876-2042

## Contact information

- **Practice address:** CARR 188 \# INT187, LOIZA, PR 00772-1850
- **Practice address phone:** (787) 876-2042
- **Practice address fax:** (787) 876-1120
- **Mailing address:** PO BOX 509, LOIZA, PR 00772-0509
- **Mailing address phone:** (787) 876-2042
- **Mailing address fax:** (787) 876-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15F1765 | PR | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 05/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2087584 | PK | — |