Provider Demographics
NPI:1710216619
Name:GARAMA M.R. INC.
Entity type:Organization
Organization Name:GARAMA M.R. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEBRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-467-9106
Mailing Address - Street 1:351 CALLE FLOR DE SIERRA
Mailing Address - Street 2:HACIENDA REAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-9781
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:489 AVE. EMILIANO POL
Practice Address - Street 2:URB LA CUMBRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5627
Practice Address - Country:US
Practice Address - Phone:787-708-1300
Practice Address - Fax:787-708-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy