Provider Information for 1144355660
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HILIFECARE LLC
Other Names:Doing Business As:FARMACIA MODELO COROZALDoing Business As:FARMACIA MODELOOrganization Subpart: NO
NPI: 1144355660
Last Updated: 2023-01-30
Certification Date: 2023-01-30
Certification Date: 2023-01-30
Details
Name | Value | ||||||||||||
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NPI | 1144355660 | ||||||||||||
Enumeration Date | 2007-02-23 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: Mr. JAIME J JACKSON Title: Member Hilifecare LLC/Owner LLC Phone: 7876421385 | ||||||||||||
Mailing Address | 79 CALLE AMBER SENDEROS EN MONTEHIEDRA SAN JUAN, PR 00926 United States Phone: 787-859-3040 | Fax:787-859-3040 | ||||||||||||
Primary Practice Address | CALLE GANDARA #12 COROZAL, PR 00783-2057 United States Phone: 787-859-3040 | Fax:787-859-3040 | ||||||||||||
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