# JOSE PEREZ FONSECA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIAS PLAZA 5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801942941
- **Authorized official:** RIGEL UBEC BEAUCHAMP RPH (PHARMACY MANAGER)
- **Authorized official phone:** (787) 620-9600

## Contact information

- **Practice address:** 101 CALLE DR VEVE, BAYAMON, PR 00961-6105
- **Practice address phone:** (787) 785-0277
- **Practice address fax:** (787) 740-5830
- **Mailing address:** PO BOX 246, BAYAMON, PR 00960-0246
- **Mailing address phone:** (787) 620-9600
- **Mailing address fax:** (787) 740-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07F0847 | PR | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 08/22/2020
