MEDICARE: FARMACIA EL PARAISO

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	:	1972781896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA EL PARAISO

Provider Business Mailing Address
First Line	:	CALLE CHAPULTEPEC P-10
Second Line	:	PARK GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-283-0073
Fax Number	:	787-283-0074

Provider Business Practice Location Address
First Line	:	P10 CALLE CHAPULTEPEC
Second Line	:	PARK GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2127
Country	:	US
Telephone Number	:	787-283-0073
Fax Number	:	787-283-0074

Authorized Official
Title or Position	:	CO-OWNER
Name	:	YARIMAR GUERRERO
Credential	:
Telephone Number	:	787-283-0073

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	02/01/2008

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Directions to “FARMACIA EL PARAISO ” Practice Location

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