Healthcare Provider Details

I. General information

NPI: 1730605759
Provider Name (Legal Business Name): GUYUEL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CALLE 65 INFANTERIA
ANASCO PR
00610-2921
US

IV. Provider business mailing address

67 CALLE 65 INFANTERIA
ANASCO PR
00610-2921
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-2545
  • Fax: 787-826-4022
Mailing address:
  • Phone: 787-826-2545
  • Fax: 787-826-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19F3502
License Number StatePR

VIII. Authorized Official

Name: ALICEBEL ROMAN
Title or Position: PHARMACIT
Credential:
Phone: 787-826-2545