Provider Demographics
NPI:1205819729
Name:SPECIAL CARE PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:SPECIAL CARE PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANIBAL
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-781-4585
Mailing Address - Street 1:55 CALLE ARZUAGA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3702
Mailing Address - Country:US
Mailing Address - Phone:787-781-4585
Mailing Address - Fax:
Practice Address - Street 1:1109 BRUMBAUGH, ARZUAGA 53,55
Practice Address - Street 2:RIO PIEDRAS PUEBLO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3702
Practice Address - Country:US
Practice Address - Phone:787-781-4585
Practice Address - Fax:787-783-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-2224332BD1200X, 332BN1400X, 332BP3500X, 333600000X
333600000X
PR15F2224333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10988OtherSSS
PRF-548538OtherPHARMACY LICENSE
PR1221460001Medicare ID - Type Unspecified