Healthcare Provider Details

I. General information

NPI: 1760617856
Provider Name (Legal Business Name): MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR.779, KM 7.7 BARRIO PALOMAS
COMERIO PR
00782
US

IV. Provider business mailing address

URBANIZACION ESTANCIAS DE CERRO GORDO, PLAZA LIAN #36
VEGA ALTA PR
00692
US

V. Phone/Fax

Practice location:
  • Phone: 787-875-7016
  • Fax:
Mailing address:
  • Phone: 787-875-7016
  • Fax: 787-875-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LUIS DANIEL PAGAN RIVERA
Title or Position: PHARMACIST
Credential: RPH
Phone: 787-316-8164