Healthcare Provider Details

I. General information

NPI: 1437078995
Provider Name (Legal Business Name): BRIO SPECIALTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 AVE MUNOZ RIVERA STE 101
SAN JUAN PR
00918-4111
US

IV. Provider business mailing address

650 AVE MUNOZ RIVERA STE 101
SAN JUAN PR
00918-4111
US

V. Phone/Fax

Practice location:
  • Phone: 215-260-8642
  • Fax:
Mailing address:
  • Phone: 215-260-8642
  • Fax: 787-965-2674

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 Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ABISH THOMAS
Title or Position: PHARMACY HEAD OF OPERATIONS
Credential:
Phone: 787-965-2746