Provider Demographics
NPI:1083790943
Name:METROPOLITAN HOSPITAL PHARMACY INC
Entity Type:Organization
Organization Name:METROPOLITAN HOSPITAL PHARMACY INC
Other - Org Name:FARMACIA KARLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-783-4368
Mailing Address - Street 1:PO BOX 11637
Mailing Address - Street 2:CAPERRA HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1637
Mailing Address - Country:US
Mailing Address - Phone:787-783-4368
Mailing Address - Fax:787-781-1539
Practice Address - Street 1:100 CALLE 31 SW # URB
Practice Address - Street 2:T3-6 CARR 21
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2402
Practice Address - Country:US
Practice Address - Phone:787-783-4368
Practice Address - Fax:787-781-1539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15F10893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084217OtherPK