Healthcare Provider Details

I. General information

NPI: 1750793568
Provider Name (Legal Business Name): EMPRESAS CAROLIMAR INCORPORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 04/30/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#72 AVE MATIAS BRUGMAN
LAS MARIAS PR
00670-2005
US

IV. Provider business mailing address

PO BOX 3682 HATO ARRIBA STA
SAN SEBASTIAN PR
00685-7012
US

V. Phone/Fax

Practice location:
  • Phone: 787-827-0747
  • Fax: 787-827-0344
Mailing address:
  • Phone: 787-403-9141
  • Fax: 787-827-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number20-F-3199
License Number StatePR

VIII. Authorized Official

Name: MILDRED I RIVERA CRESPO
Title or Position: PRESIDENT
Credential: PHARMACIST
Phone: 787-403-9141