Provider Demographics
NPI:1205847282
Name:CARIBE SPECIALTY PHARMACY
Entity Type:Organization
Organization Name:CARIBE SPECIALTY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGERS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCRIBANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-724-6330
Mailing Address - Street 1:1657 AVE PONCE DE LEON
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1835
Mailing Address - Country:US
Mailing Address - Phone:787-724-6330
Mailing Address - Fax:787-722-0837
Practice Address - Street 1:1657 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1835
Practice Address - Country:US
Practice Address - Phone:787-724-6330
Practice Address - Fax:787-722-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F2130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4022529OtherNABP