Healthcare Provider Details

I. General information

NPI: 1053476861
Provider Name (Legal Business Name): CARIBE PHARMACY MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR PR #1 ESQ. CALLE PINO PLAZA DEL CARMEN MALL LOCAL 51
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 4218
BAYAMON PR
00958-1218
US

V. Phone/Fax

Practice location:
  • Phone: 787-746-1273
  • Fax: 787-743-5929
Mailing address:
  • Phone: 787-787-7733
  • Fax: 787-269-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number07-F-1095
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JORGE VARGAS
Title or Position: VP PHARMACY OPERATIONS
Credential:
Phone: 787-638-0638