Organization Active NPI

Irazema Gonzalez Mahiquez

Doing business as Farmacia Brazo De Oro

  • Community/Retail Pharmacy
  • Lares, PR
National Provider Identifier
1053434639
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07F1860 Issued in PR
Legal business name
IRAZEMA GONZALEZ MAHIQUEZ
Doing business as
Farmacia Brazo De Oro
Practice address
Calle Dr Pedro Albizu Campos #8
Lares, PR 00669
Phone
(787) 897-5398
Fax
(787) 897-5398
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irazema Gonzalez MahiquezNPI 1447381173
Title
Owner
Phone
(787) 897-5398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07F1860 PR Primary

Addresses

Primary practice location

Calle Dr Pedro Albizu Campos #8
Lares, PR 00669

Mailing address

PMB 214 Munoz Rivera #1
Lares, PR 00669
Phone (787) 897-5398

Other names 1

  • Farmacia Brazo De Oro Doing business as

National Provider Directory

National Provider Directory

Locations

8 Calle Pedro Albizu Campos
Lares, PR 00669
Phone (787) 897-5398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1053434639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 214 MUNOZ RIVERA #1",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-5398",
            "fax_number": "787-897-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR PEDRO ALBIZU CAMPOS #8",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-5398",
            "fax_number": "787-897-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAZEMA GONZALEZ MAHIQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MAHIQUEZ",
        "authorized_official_first_name": "IRAZEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-897-5398"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F1860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Brazo De Oro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.