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Organization
ISLAND NATURAL HEALTH FOOD
Active
Organization
ISLAND NATURAL HEALTH FOOD
Active
Other names
Island Natural Health Food
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON ANTONIO PAGAN DE JESUS (OWNER)
(787) 813-1123
Entity
Organization
Contact information
Practice address
245 CALLE ROSA, URB. FERRY BARRANCA, PONCE, PR 00730-4322
(787) 813-1123
Mailing address
HACIENDA LAS VEGAS, 117 CALLE GAVIOTA, JUANA DIAZ, PR 00795-7003
(787) 813-1123
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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