Provider Demographics
NPI:1316034556
Name:DAL & ASSOCIATES CORPORATION
Entity type:Organization
Organization Name:DAL & ASSOCIATES CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEYSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-257-2420
Mailing Address - Street 1:PO BOX 213
Mailing Address - Street 2:CAROLINA PUEBLO STATION
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-0213
Mailing Address - Country:US
Mailing Address - Phone:787-257-2420
Mailing Address - Fax:
Practice Address - Street 1:390 CARR 853 KM 0.3
Practice Address - Street 2:BARRIO TRUJILLO BAJO
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-257-2420
Practice Address - Fax:787-752-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-25023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4020525OtherNCPDP