1679848188 NPI number — FARMACIA CPTET BAYAMON

Table of content: (NPI 1679848188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679848188 NPI number — FARMACIA CPTET BAYAMON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARMACIA CPTET BAYAMON
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:
1679848188
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70184
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-8184
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-787-5151
Provider Business Mailing Address Fax Number:
787-522-6309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 AVE LAUREL
Provider Second Line Business Practice Location Address:
HOSP. RAMON RUIZ ARNAU-CPTET
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956-4816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-787-5151
Provider Business Practice Location Address Fax Number:
787-522-6309
Provider Enumeration Date:
03/16/2012

Additional Information

Authorized Official

Authorized Official Last Name:
RAMOS
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
Authorized Official Title or Position:
REGENT PHARMACIST
Authorized Official Telephone Number:
787-787-5151

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336I0012X , with the licence number: 13F3005 , 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: 4028088 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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