NPI 1043620123
Own Bussiness
Practice location
- Address
- 1933 Calle Guayabo Los Caobos, Ponce, PR 00716
- Phone
- (787) 365-8662
Authorised official
- Name
- Brenda Lee Gonzalez
- Title
- Pharmacy Technician
- Phone
- (787) 365-8662
Registered specialties
Managed Care Organization Pharmacy
Primary
Registry record
- NPI
- 1043620123
- Entity type
- Organization
- NPI issued
- 29 Apr 2014
- Record last updated
- 29 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.