Healthcare Provider Details

I. General information

NPI: 1821035296
Provider Name (Legal Business Name): MEDICURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCKINLEY ST. #8
MANATI PR
00674-5023
US

IV. Provider business mailing address

8 PASEO DE LA ATENAS
MANATI PR
00674-5023
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-4888
  • Fax: 787-854-4888
Mailing address:
  • Phone: 787-854-4888
  • Fax: 787-854-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARIA DEL PILAR CRUZ
Title or Position: PRESIDENT
Credential:
Phone: 787-854-4888