1851472229 NPI number — FARWIACIA GENERILA RAWALLOSA

Table of content: (NPI 1851472229)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851472229 NPI number — FARWIACIA GENERILA RAWALLOSA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARWIACIA GENERILA RAWALLOSA
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:
1851472229
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 270
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUAS BUENAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00703-0270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-732-7900
Provider Business Mailing Address Fax Number:
787-732-6658

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BARRIO MULAS CARR. 174 KM 21.1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUAS BUENAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-732-7900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HERNANDEZ REYES
Authorized Official First Name:
RAMON
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-732-7900

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)

  • Identifier: HDS-MEDE . This is a "610500" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: MC-21 HUMANA . This is a "010868" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: LILLY . This is a "600428" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PAID . This is a "610014" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PCS . This is a "610415" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: ARGUS . This is a "610649" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PCS - 2 . This is a "012114" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PFIZER FOR LIVING . This is a "600428" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: ECKERD HEALTH . This is a "610474" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: MAX ASSISTANCE . This is a "010595" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: MCS-2 . This is a "012114" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: TRICARE . This is a "003858" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: SSS-MEDICARE . This is a "010868" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: WHP NEW . This is a "603286" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: MCS PUERTO RICO . This is a "610029" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PICA . This is a "610674" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: ADVANCE PCS . This is a "004336" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: DYNO NOBEL . This is a "003858" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: MPB . This is a "010868" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".