Provider Demographics
NPI:1801915657
Name:FARMACIA CENTRO DIAGNOSTICO Y TRATAMIENTO DR. CAPARROS
Entity type:Organization
Organization Name:FARMACIA CENTRO DIAGNOSTICO Y TRATAMIENTO DR. CAPARROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-894-2288
Mailing Address - Street 1:2 CALLE BETANCES
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-2932
Mailing Address - Country:US
Mailing Address - Phone:787-894-2288
Mailing Address - Fax:787-894-4172
Practice Address - Street 1:2 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2932
Practice Address - Country:US
Practice Address - Phone:787-894-2288
Practice Address - Fax:787-894-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-1499332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4140040001Medicare ID - Type UnspecifiedMEDICAL EQUIPMENT SUPPLIE