Healthcare Provider Details

I. General information

NPI: 1407480163
Provider Name (Legal Business Name): CPF GROUP, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 335 KM 1.5 C & C PROFESSIONAL PLAZA SUITE 3 BO. BARINAS
YAUCO PR
00698-4110
US

IV. Provider business mailing address

F16 CALLE TUSCANY
YAUCO PR
00698-4110
US

V. Phone/Fax

Practice location:
  • Phone: 787-223-6456
  • Fax:
Mailing address:
  • Phone: 787-223-6456
  • Fax:

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: CARLA PEREZ GARCIA
Title or Position: PHARMACY MANAGER
Credential: PHARM D.
Phone: 787-223-6456