1487805297 NPI number — OMHEC INC

Table of content: (NPI 1487805297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487805297 NPI number — OMHEC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OMHEC INC
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 TIERRAS NUEVAS
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:
1487805297
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2188
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANATI
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00674-2188
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-884-6201
Provider Business Mailing Address Fax Number:
787-884-0019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 685, KM 2.9
Provider Second Line Business Practice Location Address:
BARRIO TIERRAS NUEVA
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-884-6201
Provider Business Practice Location Address Fax Number:
787-884-0019
Provider Enumeration Date:
10/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FERRER
Authorized Official First Name:
HECTOR
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT-OMHEC INC.
Authorized Official Telephone Number:
787-380-0508

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 18-F-2675 , 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: 2117397 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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