Healthcare Provider Details

I. General information

NPI: 1932355641
Provider Name (Legal Business Name): CENTRAL DRUG JM CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA #1 KM 25.5 QUEBRADA ARENA CAMINO LOS NAVARRO
SAN JUAN PR
00926
US

IV. Provider business mailing address

1304 AVE JESUS T PINERO
SAN JUAN PR
00921-1508
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-9855
  • Fax: 787-782-7995
Mailing address:
  • Phone: 787-783-9855
  • Fax: 787-782-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSSUE A GALGUERA
Title or Position: PRESIDENT
Credential:
Phone: 787-783-9855