Healthcare Provider Details

I. General information

NPI: 1225960255
Provider Name (Legal Business Name): CARIBE PHARMACY MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 AVENIDA F.D. ROOSEVELT PLAZA LAS AMERICAS, LOCAL #313
SAN JUAN PR
00918
US

IV. Provider business mailing address

PO BOX 4218
BAYAMON PR
00958-1218
US

V. Phone/Fax

Practice location:
  • Phone: 787-638-0638
  • Fax:
Mailing address:
  • Phone: 787-787-7333
  • Fax: 787-936-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: IRMA BOVER
Title or Position: COMPLIANCE DIRECTOR
Credential:
Phone: 787-787-7733