1245416684 NPI number — FARMACIA SECCION PREVENCION ETS

Table of content: (NPI 1245416684)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245416684 NPI number — FARMACIA SECCION PREVENCION ETS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARMACIA SECCION PREVENCION ETS
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:
Provider Other Organization Name Type Code:
6
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:
1245416684
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PREDIOS HOSPITAL SAN LUCAS 2 CARR 14 AVE TITO CASTRO #9
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-765-2929
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PREDIOS HOSPITAL SAN LUCAS 2 CARR #14 AVE TITO CASTRO #
Provider Second Line Business Practice Location Address:
BO MACHUELO
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-2929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PIZARRO
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
787-765-2929

Provider Taxonomy Codes

  • Taxonomy code: 1835P0018X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2087593 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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