Organization
ISLAND NATURAL HEALTH FOOD
Active
Other names
Island Natural Health Food
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON ANTONIO PAGAN DE JESUS (OWNER)
(787) 813-1123
Entity
Organization
Contact information
Practice address
245 CALLE ROSA, URB. FERRY BARRANCA, PONCE, PR 00730-4322
(787) 813-1123
Mailing address
HACIENDA LAS VEGAS, 117 CALLE GAVIOTA, JUANA DIAZ, PR 00795-7003
(787) 813-1123
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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