Organization
JESUS M. DIAZ DELGADO
Active
Other names
Farmacia San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA TOLEDO RPH (OWNER AND PIC)
(787) 895-6707
Entity
Organization
Contact information
Practice address
CARR. 113 KM 13.6, QUEBRADILLAS, PR 00678
(787) 895-6707
(787) 895-6675
Mailing address
PO BOX 1369, HATILLO, PR 00659-1369
(787) 895-6707
(787) 895-6675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
BF9444958
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038102600
—
PR
01
—
4024977
NCPDP
PR
Enumeration date
10/10/2006
Last updated
07/01/2025
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