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Organization

INFUSION SOLUTIONS OF PUERTO RICO, LLC

Active
Parent organization
FARMACIA DORAL, INC. DBA AXIUM HEALTHCARE DE PUERTO RICO
Organization subpart
Yes

Provider details

NPI number
Legal business name
FARMACIA DORAL, INC. DBA AXIUM HEALTHCARE DE PUERTO RICO
Authorized official
MR. MARK MONTGOMERY (CEO)
(888) 315-3395
Entity
Organization

Contact information

Practice address
108 CARR 2 STE 301, GUAYNABO, PR 00966-1830
(787) 780-7200
(787) 779-1430
Mailing address
108 CARR 2 STE 301, GUAYNABO, PR 00966-1830
(787) 780-7200
(787) 779-1430

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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