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NPI Code Detail

MEDICARE: PLAZA HEALTH LLC

MEDICARE: PLAZA HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1043366883
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAZA HEALTH LLC
Provider Business Mailing Address
First Line : PO BOX 8949
Second Line :
City : CAROLINA
State : PR
Zip : 00988-8949
Country : US
Telephone Number : 787-620-9609
Fax Number : 787-779-3741
Provider Business Practice Location Address
First Line : AVE LAS CUMBRES X-1 URB. ROYAL TOWN
Second Line :
City : BAYAMON
State : PR
Zip : 00960
Country : US
Telephone Number : 787-620-9609
Fax Number : 787-797-9639
Authorized Official
Title or Position : PRESIDENT
Name : AWAD YASSIN
Credential :
Telephone Number : 787-717-5566
Provider Enumeration Date : 01/26/2007
Last Update Date : 06/10/2026

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Directions to “PLAZA HEALTH LLC ” Practice Location

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