NPI Code Details Logo

NPI 1720941545

NPI 1720941545 : DZEUS CORP. : ISABELA, PR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720941545
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DZEUS CORP. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/08/2025
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7508 AVE. AGUSTIN RAMOS CALERO 
-----------------------------------------------------
    City                 |    ISABELA
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00662-5228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-333-0770
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7508 AVE. AGUSTIN RAMOS CALERO 
-----------------------------------------------------
    City                 |    ISABELA
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00662-5228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-333-0770
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     OBETH  SOTO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    787-333-0770
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0002X
-----------------------------------------------------
    Taxonomy Name        |    Clinic Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336M0002X
-----------------------------------------------------
    Taxonomy Name        |    Mail Order Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.