Aiza Y Perez Caban
Organization Active NPI Community/Retail Pharmacy · Moca, PR
NPI 1841364239 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1841364239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 17F2076 (PR)
- Legal business name
- AIZA Y PEREZ CABAN
- Practice address
- Carr 110 KM 13 PT 0
Bo Pueblo
Moca, PR 00676 - Phone
- (787) 877-0110
- Fax
- (787) 818-0110
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Aiza Perez
- Title
- Owner
- Phone
- (787) 877-0110
Practitioners 1
-
Aiza Y Perez, FPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 17F2076 | PR | Yes |
Addresses
Primary practice location
Carr 110 KM 13 PT 0
Bo Pueblo
Moca, PR 00676
Mailing address
PO Box 57
Moca, PR 00676-0057
Phone (787) 877-0110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-F-2076 | Medicaid | PR | |
| 2087130 | Other | PK |
Other names
- FARMACIA LA 110
Other providers in Moca, PR
- Luis Angel Acevedo
- Rey Acevedo
- Advance Anesthesia Service
- Advanced Dental Service
- Yelianne Mari Afanador Gonzalez
- Angel Alequin
- Alianza Para El Desarrollo Inegrado de la Ninez L.L.C.
- Maritza Alma
- Guillermo A. Alvarez
- Angel Gonzalez Perez
All providers in Moca, PR · Community/Retail Pharmacy in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.