Organization
INTRACARE INFUSION AND COMPOUNDING PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBEL ROSAS (MED DIRECTOR)
(787) 250-1515
Entity
Organization
Contact information
Practice address
690 CALLE CESAR GONZALEZ # 479, URB ROOSEVELT, SAN JUAN, PR 00918-3901
(787) 250-1515
(787) 753-0708
Mailing address
690 CALLE CESAR GONZALEZ # 479, URB ROOSEVELT, SAN JUAN, PR 00918-3901
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
08F2456
PR
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025563
OTHER ID NUMBER
—
Enumeration date
01/24/2007
Last updated
09/12/2007
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