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Farmacia Lares Medical Center Inc.

Organization Active NPI Pharmacy · Lares, PR

NPI 1043340607 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1043340607
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
07-F-1738 (PR)
Legal business name
FARMACIA LARES MEDICAL CENTER INC.
Practice address
Carr 111 KM 2.9
Ave. Los Patriotas
Lares, PR 00669
Phone
(787) 897-1499
Fax
(787) 897-4952
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Dr. Rodriguez Baltazar, M.D.
Title
Director
Phone
(787) 897-1499

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lares Medical Group Inc (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07-F-1738 PR Yes

Addresses

Primary practice location

Carr 111 KM 2.9
Ave. Los Patriotas
Lares, PR 00669

Mailing address

PO Box 1427
Lares, PR 00669-1427
Phone (787) 897-1499

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043340607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006691427",
            "telephone_number": "787-897-1499",
            "fax_number": "787-897-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 2.9",
            "address_2": "AVE. LOS PATRIOTAS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-1499",
            "fax_number": "787-897-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA LARES MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-897-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "07-F-1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

All providers in Lares, PR · Pharmacy in Puerto Rico

Sources for this page

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