Mba Medical Services Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

07F2066 Issued in PR

Legal business name

MBA MEDICAL SERVICES INC

Doing business as

Farmacia San Gerardo

Practice address

358 Ave San Claudio
Cupey
San Juan, PR 00926-4107

Phone

(787) 761-8835

Fax

(787) 292-0130

NPI assigned

Oct 3, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lorenzo Bosque, MD

Title

President

Phone

(787) 760-6604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FARMACIA SAN GERARDO Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225025414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 AVE SAN CLAUDIO",
            "address_2": "CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264107",
            "telephone_number": "787-761-8835",
            "fax_number": "787-292-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 AVE SAN CLAUDIO",
            "address_2": "CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264107",
            "telephone_number": "787-761-8835",
            "fax_number": "787-292-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBA MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSQUE",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-760-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "07F2066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "07F2066",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA SAN GERARDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.