# FARMACIA CENTRO RENAL INC.

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

## Provider details

- **NPI number:** 1619002037
- **Authorized official:** MRS. MINERVA DE SANTIAGO (PHARMACIST)
- **Authorized official phone:** (787) 831-0600

## Contact information

- **Practice address:** 1050 AVE LOS CORAZONES, SUITE 103, MAYAGUEZ, PR 00680-7042
- **Practice address phone:** (787) 831-0600
- **Practice address fax:** (787) 265-0670
- **Mailing address:** 1050 AVE LOS CORAZONES, SUITE 103, MAYAGUEZ, PR 00680-7042
- **Mailing address phone:** (787) 831-0600
- **Mailing address fax:** (787) 265-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F1234 | PR | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/07/2014