MEDICARE: NAGR 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1881495760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAGR LLC

Provider Business Mailing Address
First Line	:	259 AVE JUAN ROSADO
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4826
Country	:	US
Telephone Number	:	787-226-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 AVE. F.D. ROOSEVELT
Second Line	:	102 CLINICA LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-226-1770
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. IVIS E GONZALEZ
Credential	:
Telephone Number	:	787-226-1770

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/30/2026

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Directions to “NAGR LLC ” Practice Location

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