MEDICARE: RYES & MENDEZ INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	07F1350PR	PR

General Provider Information

NPI Number	:	1366583650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYES & MENDEZ INC

Provider Business Mailing Address
First Line	:	2001 AVE BORINQUEN
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00915-3814
Country	:	US
Telephone Number	:	787-727-2221
Fax Number	:	787-268-5772

Provider Business Practice Location Address
First Line	:	2001 AVE BORINQUEN
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00915-3814
Country	:	US
Telephone Number	:	787-727-2221
Fax Number	:	787-268-5772

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FAUSTO P MUNOZ
Credential	:
Telephone Number	:	787-727-2221

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	07/07/2008

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