# AITANA PONCE LLC

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

## Provider details

- **NPI number:** 1730629601
- **Authorized official:** RAMON E MERCADO GALARZA (OWNER)
- **Authorized official phone:** (787) 254-9401

## Contact information

- **Practice address:** CARRETERA 121 KM 4.8, BO MAGINAS, SABANA GRANDE, PR 00637
- **Practice address phone:** (787) 254-9401
- **Practice address fax:** (787) 804-0801
- **Mailing address:** PO BOX 535, GUANICA, PR 00653-0535
- **Mailing address phone:** (787) 254-9401
- **Mailing address fax:** (787) 804-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3468 | PR | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 12/18/2024