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General NPI Number Information
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NPI Number | 1457493736
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Entity Type | Organization
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Legal Business Name | FARMACIA RAISA, INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | CARR 115 KM 11.3 BO PUEBLO
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City | RINCON
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State | PR
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Zip | 00677
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Country | US
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Telephone | 787-823-2929
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Fax | 787-823-2830
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Provider Business Mailing Address
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Address Line | P.O. BOX 516
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City | RINCON
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State | PR
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Zip | 00677-0516
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Country | US
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Telephone | 787-823-2929
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Fax | 787-823-2830
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CARLOS A MATOS
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Credential |
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Telephone | 787-823-2929
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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 | 07F2005
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License Number State | PR
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