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General NPI Number Information
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NPI Number | 1386686921
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Entity Type | Organization
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Legal Business Name | GONASA CORP
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | CARR 694 KM 1.2 SECTOR MONTE REY BO ESPINOSA
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-270-1816
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Fax | 787-270-2593
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Provider Business Mailing Address
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Address Line | HC 83 BOX 6204 SECTOR MONTE REY
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City | VEGA ALTA
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State | PR
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Zip | 00692-9706
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Country | US
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Telephone | 787-883-2913
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Fax | 787-270-2593
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Authorized Official
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Title or Position | PIC/OWNER
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Name | DAMARIS MARILIA RUIZ RIVERA
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Credential | R.PH.
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Telephone | 787-883-2913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17F2233
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License Number State | PR
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