Provider Demographics
NPI:1154421345
Name:PEREZ MENENDEZ HNOS. INC.
Entity type:Organization
Organization Name:PEREZ MENENDEZ HNOS. INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDAZ ROSODO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:787-504-6097
Mailing Address - Street 1:GARDEN HILLS PLAZA PR-19, KM 1.0
Mailing Address - Street 2:PLAZA #1379, BO. PUELDO VIEJO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-620-9616
Mailing Address - Fax:787-749-9435
Practice Address - Street 1:GARDEN HILLS PLAZA PR-19, KM 1.0
Practice Address - Street 2:PLAZA #1379, BO. PUELDO VIEJO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-620-9616
Practice Address - Fax:787-749-9435
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEREZ MENENDEZ HNOS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-25
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07S2181333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038408400Medicaid