Organization
FARMACIA CDT LARES MED CENTER
Active
Other names
FARMACIA CDT LARES MED CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BALTSAR CRUZ MD (PRES)
(787) 897-1444
Entity
Organization
Contact information
Practice address
CAR 111 AVE KM 2 9, LARES, PR 00669
(787) 897-1499
(787) 897-1463
Mailing address
PO BOX 1427, LARES, PR 00669-1427
(787) 897-1499
(787) 897-1463
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
11F1738
PR
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4022062
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/27/2007
Last updated
04/26/2010
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