Provider Demographics
NPI:1285005561
Name:CENTRAL DRUG DORADO CORP
Entity Type:Organization
Organization Name:CENTRAL DRUG DORADO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MYRTHA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-455-5831
Mailing Address - Street 1:PO BOX 192322
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-2322
Mailing Address - Country:US
Mailing Address - Phone:787-781-2963
Mailing Address - Fax:787-782-7995
Practice Address - Street 1:CARRETERA # 1 KM 25.5 INTERIOR CAMINO LOS NAVARRO
Practice Address - Street 2:BO QUEBRADA ARENA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-781-2963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy