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Organization

PRIMARY PHISICIAN EMERGENCY GROUP

Active
Other names
Advance Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE M RODRIGUEZ BENITEZ MD (PRESIDENT)
(787) 746-5790
Entity
Organization

Contact information

Practice address
AVE RAFAEL CORDERO FINAL, ESQ TROCHE Y SANTIAGO CDT, CAGUAS, PR 00725
(787) 743-0530
(787) 743-0580
Mailing address
PO BOX 1388, CAGUAS, PR 00726-1388
(787) 746-5790
(787) 744-8065

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
07F2141
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07F2141
PHARMACY LICENCE
PR
01
4024345
NCPDP
PR
Enumeration date
12/13/2006
Last updated
11/05/2007
About Stedi
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  • Eligibility checks
  • EDI platform