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MEDIC PHARMACY NPI 1033651252


NPI Information

NPI: 1033651252
Provider Name: MEDIC PHARMACY
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
1228 CALLE 9 SE ESQ 52
REPARTO METROPOLITANO
SAN JUAN, PR
ZIP 00921
Phone: (787) 758-8497
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MEDIC PHARMACY is a program of all inclusive care for the elderly pace provider organization in San Juan, PR. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. MEDIC PHARMACY NPI is 1033651252. The provider is registered as an organization entity type.

The provider's business location address is:

1228 CALLE 9 SE ESQ 52
REPARTO METROPOLITANO
SAN JUAN, PR
ZIP 00921
Phone: (787) 758-8497
Fax: (787) 759-8192

The provider's authorized official is Alcides Figueroa .
The authorized official title is President and has the following contact phone number (787) 674-0928.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization17-F-1249PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1012312MEDICARE PINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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