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Organization

GES CDT DR. MANUEL QUEVEDO BAEZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 767-8758
Entity
Organization

Contact information

Practice address
359 CALLE SAN AGUSTIN, PUERTA DE TIERRA, SAN JUAN, PR 00901-2908
(787) 723-6057
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09-F2468
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1835G0000X
PHARMACY
PR
Enumeration date
03/13/2007
Last updated
08/22/2020
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