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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 : 1154476406
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 : 787-620-9600
Fax Number : 787-395-7471
Provider Business Practice Location Address
First Line : CARR 167 MARGINAL D-32 EXT FOREST HILLS
Second Line :
City : BAYAMON
State : PR
Zip : 00961-4745
Country : US
Telephone Number : 787-620-9602
Fax Number : 787-786-0591
Authorized Official
Title or Position : PRESIDENT
Name : AWAD YASSIN
Credential :
Telephone Number : 939-988-0880
Provider Enumeration Date : 01/25/2007
Last Update Date : 02/27/2026

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Directions to “PLAZA HEALTH LLC ” Practice Location

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