Organization
FARMACIA POLICLINICA BELLA VISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE RIVERA (ADMINISTRATIVE ASISTANT)
(787) 834-6161
Entity
Organization
Contact information
Practice address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00682-6353
(787) 834-6161
(787) 805-4635
Mailing address
PO BOX 850, MAYAGUEZ, PR 00681-0850
(787) 834-6161
(787) 805-4635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
07-F-1854
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4004468
PHARMACY
PR
Enumeration date
05/10/2007
Last updated
08/22/2020
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