Provider Demographics
NPI:1164421822
Name:BEST OPTION HEALTHCARE PUERTO RICO INC.
Entity Type:Organization
Organization Name:BEST OPTION HEALTHCARE PUERTO RICO INC.
Other - Org Name:BEST OPTION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARK
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-723-6868
Mailing Address - Street 1:359 DE DIEGO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1739
Mailing Address - Country:US
Mailing Address - Phone:787-723-6868
Mailing Address - Fax:787-724-4391
Practice Address - Street 1:355 AVENIDA DE DIEGO
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1739
Practice Address - Country:US
Practice Address - Phone:787-723-6868
Practice Address - Fax:787-721-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR69251E00000X
332BP3500X
PR18-F-3367333600000X
PR3336C0003X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4024612OtherNCPDP
PR0893270002Medicare ID - Type UnspecifiedDMEPOS/PHARMACY