Provider Demographics
NPI:1720478076
Name:MEDICAL FAMILY CENTER CORP.
Entity Type:Organization
Organization Name:MEDICAL FAMILY CENTER CORP.
Other - Org Name:FARMACIA RABANAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:B
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-739-6655
Mailing Address - Street 1:PO BOX 1862
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1862
Mailing Address - Country:US
Mailing Address - Phone:787-739-6655
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 173 KM. 6.5
Practice Address - Street 2:SECTOR SAN JOSE BARRIO RABANAL
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy