Healthcare Provider Details

I. General information

NPI: 1275916959
Provider Name (Legal Business Name): CARIBE PHARMACY MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 AVE PONCE DE LEON
SAN JUAN PR
00918-2024
US

IV. Provider business mailing address

PO BOX 4218
BAYAMON PR
00958-1218
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-7200
  • Fax:
Mailing address:
  • Phone: 787-787-7733
  • Fax: 879-367-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JORGE VARGAS
Title or Position: VP PHARMACY OPERATIONS
Credential:
Phone: 787-638-0638