Provider Demographics
NPI:1750596862
Name:QUALITY HEALTH SERVICE OF PUERTO RICO INC
Entity type:Organization
Organization Name:QUALITY HEALTH SERVICE OF PUERTO RICO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA SERVICIOS FARMACEUTICOS
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-848-2100
Mailing Address - Street 1:PO BOX 800501
Mailing Address - Street 2:COTO LAUREL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0501
Mailing Address - Country:US
Mailing Address - Phone:787-848-2100
Mailing Address - Fax:787-848-0022
Practice Address - Street 1:CARRETERA PR 506
Practice Address - Street 2:COTO LAUREL
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00780-0501
Practice Address - Country:US
Practice Address - Phone:787-848-2100
Practice Address - Fax:787-848-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR51743336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy