NPI Code Details Logo

NPI 1043498991

NPI 1043498991 : HEALTH MART PHARMACY PLUS LLC : SAN JUAN, PR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043498991
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALTH MART PHARMACY PLUS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/02/2008
-----------------------------------------------------
    Last Update Date     |    11/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    615 CALLE DR.MANUEL PAVIA SANTURCE
-----------------------------------------------------
    City                 |    SAN JUAN
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-722-3600
-----------------------------------------------------
    Fax                  |    787-722-6555
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 9300461 
-----------------------------------------------------
    City                 |    SAN JUAN
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00928-5861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-421-9700
-----------------------------------------------------
    Fax                  |    787-722-6555
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MR. ABDEL H SABRI SHIHADEH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    787-373-7224
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    09-F-2564
-----------------------------------------------------
    License Number State |    PR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.