Provider Demographics
NPI:1114069515
Name:ONE STOP PRESCRIPTION CAGUAS CENTRO
Entity Type:Organization
Organization Name:ONE STOP PRESCRIPTION CAGUAS CENTRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BELKIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-286-7777
Mailing Address - Street 1:PO BOX 70005
Mailing Address - Street 2:PMB 234
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-7005
Mailing Address - Country:US
Mailing Address - Phone:787-286-7777
Mailing Address - Fax:
Practice Address - Street 1:SUPERMERCADO PUEBLO PLAZA CENTRO MALL
Practice Address - Street 2:AVE RAFAEL CORDERO CARR 30
Practice Address - City:CAGAUS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-286-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F22943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy