MEDICARE: CENTRAL PLUS INC.

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1437559002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL PLUS INC.

Provider Business Mailing Address
First Line	:	1304 AVE JESUS T PINERO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-1508
Country	:	US
Telephone Number	:	787-781-0709
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 CALLE RAFAEL MERCADO
Second Line	:	VILLA NAVARRA
City	:	SAN JUAN
State	:	PR
Zip	:	00924-2811
Country	:	US
Telephone Number	:	787-688-8910
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BARYAN SIERRA
Credential	:
Telephone Number	:	787-688-8910

Provider Enumeration Date	:	09/02/2014
Last Update Date	:	09/02/2014

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