Provider Demographics
NPI:1043512320
Name:MEDDRUG INC
Entity Type:Organization
Organization Name:MEDDRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-246-3440
Mailing Address - Street 1:J4 CALLE RUISENOR
Mailing Address - Street 2:TIERRA ALTA III
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3345
Mailing Address - Country:US
Mailing Address - Phone:787-246-3440
Mailing Address - Fax:
Practice Address - Street 1:J4 CALLE RUISENOR
Practice Address - Street 2:TIERRA ALTA III
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3345
Practice Address - Country:US
Practice Address - Phone:787-246-3440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory