Organization
LUIS R ORTIZ
Active
Other names
FARMACIA MODELO
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ORTIZ (OWNER)
(787) 862-3525
Entity
Organization
Contact information
Practice address
16 AVE BUENA VISTA, MOROVIS, PR 00687
(787) 862-3525
(787) 862-1511
Mailing address
16 AVE BUENA VISTA, MOROVIS, PR 00687
(787) 862-3525
(787) 862-1511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15F2580
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084319
PK
—
Enumeration date
02/16/2007
Last updated
04/28/2014
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