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General NPI Number Information
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NPI Number | 1407932346
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Entity Type | Organization
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Legal Business Name | FARMACIA CDT GMSP INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | URB SANTA CRUZ MARGINAL C-17
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-786-1325
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Fax | 787-778-2280
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Provider Business Mailing Address
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Address Line | C17 CALLE MARGINAL
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City | BAYAMON
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State | PR
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Zip | 00961-6706
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Country | US
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Telephone | 787-786-1325
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Fax | 787-778-2280
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Authorized Official
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Title or Position | FACULTAD MEDICA
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Name | DIANNETTE MALDONADO
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Credential |
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Telephone | 787-780-9196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 18-F-3386
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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