Healthcare Provider Details

I. General information

NPI: 1629128913
Provider Name (Legal Business Name): GNS AGRONT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CALLE MUNOZ RIVERA W
RINCON PR
00677-2124
US

IV. Provider business mailing address

33 CALLE MUNOZ RIVERA W
RINCON PR
00677-2124
US

V. Phone/Fax

Practice location:
  • Phone: 787-823-2540
  • Fax: 787-823-3183
Mailing address:
  • Phone: 787-823-2540
  • Fax: 787-823-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07-F-1079
License Number StatePR

VIII. Authorized Official

Name: NICASIO AGRONT
Title or Position: PRESIDENT
Credential:
Phone: 787-823-2540