1851472229 NPI number — FARWIACIA GENERILA RAWALLOSA

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 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".




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