Organization
METRO MAYAGUEZ, INC.
Active
Other names
Farmacia Perea
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME F. MAESTRE MHSA (EXECUTIVE DIRECTOR)
(787) 834-0101
Entity
Organization
Contact information
Practice address
5 CALLE DE DIEGO E, ESQUINA DR. BASORA, MAYAGUEZ, PR 00680-4811
(787) 832-3208
(787) 832-3157
Mailing address
PO BOX 170, MAYAGUEZ, PR 00681-0170
(787) 834-0101
(787) 265-2455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
08-F-2466
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4024686
NCPDP
PR
Enumeration date
02/08/2007
Last updated
08/22/2020
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