Organization
MARIO CRUZ
Active
Other names
FARMACIA SAN ANTONIO
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO CRUZ (OWNER)
(787) 891-1060
Entity
Organization
Contact information
Practice address
CARR 110 KM 6.2, BO MONTANO POBLADO SAN ANTONIO, AGUADILLA, PR 00605
(787) 890-3535
(787) 890-3535
Mailing address
PO BOX 907, AGUADILLA, PR 00605-0907
(787) 891-1060
(787) 890-3535
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18-F-3027
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087526
PK
—
Enumeration date
09/21/2006
Last updated
10/06/2016
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