Provider Demographics
NPI:1609029412
Name:FARMACIA UPR-CTU
Entity Type:Organization
Organization Name:FARMACIA UPR-CTU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL INVESTIGATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZORRILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-759-9595
Mailing Address - Street 1:GAMMA PROJECT CARDIOVASCULAR CTR FL 8
Mailing Address - Street 2:SUITE 837
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935-0001
Mailing Address - Country:US
Mailing Address - Phone:787-759-9595
Mailing Address - Fax:787-754-5564
Practice Address - Street 1:GAMMA PROJECT CARDIOVASCULAR CTR FL 8
Practice Address - Street 2:SUITE 837
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-759-9595
Practice Address - Fax:787-754-5564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QR1100X, 3336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch