# DIVAMAR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA BAIROA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982739587
- **Authorized official:** MODESTO SANTIAGO (PRESIDENT)
- **Authorized official phone:** (787) 744-9164

## Contact information

- **Practice address:** CALLE LA PINTA BF-15 AVE. BAIROA, BAIROA CAGUAS, PR 00725-1472
- **Practice address phone:** (787) 744-9164
- **Practice address fax:** (787) 744-3988
- **Mailing address:** CALLE LA PINTA BF-15 AVE. BAIROA, BAIROA CAGUAS, PR 00725-1472
- **Mailing address phone:** (787) 744-9164
- **Mailing address fax:** (787) 744-3988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 18-F-2423 | PR | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 09/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038372400 | — | PR |
| 01 | — | 2084107 | PK | — |