| NPI | 1386787364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS G PORTAL President 787-834-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 4335) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PR 07-F-0899) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |