Provider Demographics
NPI:1417188244
Name:CENTRAL DRUG DORADO. CORP
Entity Type:Organization
Organization Name:CENTRAL DRUG DORADO. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
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:787-783-9855
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:787-783-9855
Mailing Address - Fax:787-782-7995
Practice Address - Street 1:CARRETERA 1 KM 25.5
Practice Address - Street 2:SECTOR LOS NAVARROS BO QUEBRADA ARENA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-783-9855
Practice Address - Fax:787-782-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy