Organization
PSP4 GROUP LLC
Active
Other names
ProSalud Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES LILLIANNE ORTIZ (VICE PRESIDENT)
(787) 432-2329
Entity
Organization
Contact information
Practice address
CALLE 25 DE JULIO ESQ SS RODRIGUEZ, GUANICA, PR 00653-2713
(939) 356-2700
(787) 821-1474
Mailing address
PO BOX 760, GUANICA, PR 00653-0760
(787) 821-0500
(787) 821-0800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039993400
—
PR
Enumeration date
12/20/2024
Last updated
07/21/2025
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