Organization
SAN JUAN USCG CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
BLDG 124 USCG BASE SAN JUAN MED 5, LA PONTILLA, SAN JUAN, PR 00901
(787) 729-2304
(787) 289-7991
Mailing address
BLDG 124 USCG BASE SAN JUAN MED 5, LA PONTILLA, SAN JUAN, PR 00901
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4023951
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/22/2006
Last updated
04/16/2009
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