Provider Demographics
NPI:1417003476
Name:PLAZA HEALTH LLC
Entity Type:Organization
Organization Name:PLAZA HEALTH LLC
Other - Org Name:FARMACIAS PLAZA 8
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SABNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-920-6000
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0246
Mailing Address - Country:US
Mailing Address - Phone:787-620-9600
Mailing Address - Fax:787-740-3666
Practice Address - Street 1:394 AVE DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3716
Practice Address - Country:US
Practice Address - Phone:787-620-9608
Practice Address - Fax:787-753-4877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAZA HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18-F33923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5193850001Medicare ID - Type Unspecified