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Contact Information

AIZA Y PEREZ CABAN
CARR 110 KM 13 PT 0
BO PUEBLO
MOCA, PR00676
 Phone: 787-877-0110
 Fax: 787-818-0110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AIZA Y PEREZ CABAN

NPI # 1841364239
LBN Legal business name AIZA Y PEREZ CABAN
Authorized official AIZA PEREZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 02/28/2017 - About 9 years ago
Identifiers
PR License # 17F2076
PR Medicaid 17-F-2076
Other 2087130 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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