Organization
FARMACIA CDT GMSP INC
Active
Other names
FARMACIA CDT GMSP
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNETTE MALDONADO (FACULTAD MEDICA)
(787) 780-9196
Entity
Organization
Contact information
Practice address
URB SANTA CRUZ, MARGINAL C-17, BAYAMON, PR 00961
(787) 786-1325
(787) 778-2280
Mailing address
C17 CALLE MARGINAL, BAYAMON, PR 00961-6706
(787) 786-1325
(787) 778-2280
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
333600000X
Pharmacy
18-F-3386
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037723800
—
PR
01
—
4023836
NABP
PR
Enumeration date
10/31/2006
Last updated
02/06/2026
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