Organization
MBA MEDICAL SERVICES INC
Active
Other names
FARMACIA SAN GERARDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO BOSQUE MD (PRESIDENT)
(787) 760-6604
Entity
Organization
Contact information
Practice address
358 AVE SAN CLAUDIO, CUPEY, SAN JUAN, PR 00926-4107
(787) 761-8835
(787) 292-0130
Mailing address
358 AVE SAN CLAUDIO, CUPEY, SAN JUAN, PR 00926-4107
(787) 761-8835
(787) 292-0130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07F2066
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07F2066
LICENCIA
PR
Enumeration date
10/03/2005
Last updated
08/22/2020
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