Organization
CDT DRES VILLALOBOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 257-4320
Entity
Organization
Contact information
Practice address
AVE FERNANDEZ JUNCOS, ESQUINA MOLINILLO, CAROLINA, PR 00982
(787) 257-4320
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
NABP4022101
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NABP4022101
PHARMACY
PR
Enumeration date
04/23/2007
Last updated
08/22/2020
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