Healthcare Provider Details

I. General information

NPI: 1205819729
Provider Name (Legal Business Name): SPECIAL CARE PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 BRUMBAUGH, ARZUAGA 53,55 RIO PIEDRAS PUEBLO
SAN JUAN PR
00925-3702
US

IV. Provider business mailing address

55 CALLE ARZUAGA
SAN JUAN PR
00925-3702
US

V. Phone/Fax

Practice location:
  • Phone: 787-781-4585
  • Fax: 787-783-2951
Mailing address:
  • Phone: 787-781-4585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number07-F-2224
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number07-F-2224
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number07-F-2224
License Number StatePR
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSE ANIBAL ROJAS
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 787-781-4585