# FARMACIA MAVIAEL INC

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

## Provider details

- **NPI number:** 1649490343
- **Authorized official:** MRS. MAVIAEL GONZALEZ (OWNER)
- **Authorized official phone:** (787) 752-9644

## Contact information

- **Practice address:** CALLE 615 BLQ 237 \#21 VILLA CAROLINA, CAROLINA, PR 00985
- **Practice address phone:** (787) 752-9644
- **Mailing address:** CALLE 615 BLQ 237 \#21 VILLA CAROLINA, CAROLINA, PR 00985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F1979 | PR | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020