1851442750 NPI number — FARMACIA KIARA CRL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851442750 NPI number — FARMACIA KIARA CRL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARMACIA KIARA CRL
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:
1851442750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1722 CALLE LLANURA
Provider Second Line Business Mailing Address:
VALLE ALTO
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00730-4137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-260-0077
Provider Business Mailing Address Fax Number:
787-837-2299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 149 RAMAL 1 BO. CAPITANEJO
Provider Second Line Business Practice Location Address:
SECTOR PASTILLO
Provider Business Practice Location Address City Name:
JUANA DIAZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-260-0077
Provider Business Practice Location Address Fax Number:
787-837-2299
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SEGARRA
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
CARLOS
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-260-0077

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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