Healthcare Provider Details

I. General information

NPI: 1720941545
Provider Name (Legal Business Name): DZEUS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7508 AVE. AGUSTIN RAMOS CALERO
ISABELA PR
00662-5228
US

IV. Provider business mailing address

7508 AVE. AGUSTIN RAMOS CALERO
ISABELA PR
00662-5228
US

V. Phone/Fax

Practice location:
  • Phone: 787-333-0770
  • Fax:
Mailing address:
  • Phone: 787-333-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: OBETH SOTO
Title or Position: CFO
Credential:
Phone: 787-333-0770