Provider Demographics
NPI:1659019271
Name:PYSYGMO FAMILY
Entity type:Organization
Organization Name:PYSYGMO FAMILY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAMITZA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ORTIZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-445-5486
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0643
Mailing Address - Country:US
Mailing Address - Phone:787-727-6191
Mailing Address - Fax:
Practice Address - Street 1:BO HAYALES CARR 143 KM 51.3
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-727-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy