# FARMACIA SAN MARTIN MANAT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477536852
- **Authorized official:** MS. MILDRED N SANTIAGO (CEO)
- **Authorized official phone:** (787) 884-4444

## Contact information

- **Practice address:** PLAZA PUERTA DEL SOL \#54, CARR \#2, SUITE \#3,, MANAT, PR 00674-4973
- **Practice address phone:** (787) 884-4445
- **Practice address fax:** (787) 884-4444
- **Mailing address:** ESTANCIAS DE MANATI II \# 153 CALLE DORADO, MANATI, PR 00674
- **Mailing address phone:** (787) 854-7265
- **Mailing address fax:** (787) 854-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3920 | PR | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3920 | LIC. ESTADO | PR |
