1376779538 NPI number — RINGEIGHT CORP

Table of content: (NPI 1376779538)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376779538 NPI number — RINGEIGHT CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RINGEIGHT CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FARMACIA REAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376779538
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9172
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMACAO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00792-9172
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 CALLE FLOR GERENA N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791-4292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-852-5500
Provider Business Practice Location Address Fax Number:
787-852-5500
Provider Enumeration Date:
06/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
DEL VALLE
Authorized Official First Name:
RAQUEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY
Authorized Official Telephone Number:
939-242-3527

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  17F2737 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2121181 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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