1144407453 NPI number — HECTOR M. ALONSO GONZALEZ/FARMACIA POST & MANOLO'S BAKERY

Table of content: (NPI 1144407453)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144407453 NPI number — HECTOR M. ALONSO GONZALEZ/FARMACIA POST & MANOLO'S BAKERY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HECTOR M. ALONSO GONZALEZ/FARMACIA POST & MANOLO'S BAKERY
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:
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:
1144407453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 688
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-0688
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-265-6630
Provider Business Mailing Address Fax Number:
787-834-4301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RAMON E. BETANCES STREET 115 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-832-2045
Provider Business Practice Location Address Fax Number:
787-834-4301
Provider Enumeration Date:
01/29/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALONSO
Authorized Official First Name:
HECTOR
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-832-2045

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  09F0696 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 09F0696 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 09F0696 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335E00000X , with the licence number: 09F0696 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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