Organization
FARMACIA SAN RAFAEL SANTURCE, INC.
Active
Other names
San Rafael Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL DIAZ REYES (PRESIDENT)
(787) 724-3307
Entity
Organization
Contact information
Practice address
851 CALLE LAFAYETTE, SAN JUAN, PR 00909-2627
(787) 724-3307
(787) 919-7058
Mailing address
PO BOX 19791, SAN JUAN, PR 00910-1791
(787) 724-3307
(787) 919-7058
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
17-F-2298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144222
PK
—
Enumeration date
02/12/2014
Last updated
04/19/2022
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