Provider Demographics
NPI:1710645874
Name:NEXT G CORP
Entity Type:Organization
Organization Name:NEXT G CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AWAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:YASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-717-5566
Mailing Address - Street 1:PO BOX 8949
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-8949
Mailing Address - Country:US
Mailing Address - Phone:787-717-5566
Mailing Address - Fax:
Practice Address - Street 1:CARR 3 KM 82.5
Practice Address - Street 2:HUMACAO PLAZA SHOPPING CENTER
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-717-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy