# SEGUNDO A ORTIZ HERNANDEZ

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

## Provider details

- **NPI number:** 1417008251
- **Authorized official:** SEGUNDO ORTIZ (PHARMACIST AND OWNER)
- **Authorized official phone:** (787) 782-8747

## Contact information

- **Practice address:** 19-22 AVE RAMIREZ DE ARELLANO, GUAYNABO, PR 00966-3175
- **Practice address phone:** (787) 782-8747
- **Practice address fax:** (787) 783-6020
- **Mailing address:** 19 22 AVE RAMIREX DE ARRELANO, 1 TORRINMAR SHOPPING CTR, GUAYNABO, PR 00966-3175
- **Mailing address phone:** (787) 782-8747
- **Mailing address fax:** (787) 783-6020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 13F0728 | PR | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 05/20/2015