MEDICARE: FARMACIA METRO PAVIA

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
1	3336C0003X	Community/Retail Pharmacy	09-F-2480	PR

General Provider Information

NPI Number	:	1376758482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA METRO PAVIA

Provider Business Mailing Address
First Line	:	PO BOX 190828
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-0828
Country	:	US
Telephone Number	:	787-641-2323
Fax Number	:	787-771-4546

Provider Business Practice Location Address
First Line	:	435 AVE PONCE DE LEON
Second Line	:
City	:	HATO REY
State	:	PR
Zip	:	00917-3428
Country	:	US
Telephone Number	:	787-641-2323
Fax Number	:	787-771-4546

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ASTRO MUNOZ
Credential	:	MHSA
Telephone Number	:	787-641-2323

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/22/2020

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Directions to “FARMACIA METRO PAVIA ” Practice Location

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