Miaa Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14F3077 Issued in PR

Legal business name

MIAA INC

Doing business as

Farmacia La 100

Practice address

Carr 100 KM 5.8
Bo. Miradero
Cabo Rojo, PR 00623

Phone

(939) 910-7910

Fax

(939) 910-7911

NPI assigned

Jan 11, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivelisse Cintron

Title

Owner/RPH/I/C

Phone

(939) 910-7910

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Farmacia La 100 Doing business as

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1083951966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BRAU # 44",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 100 KM 5.8",
            "address_2": "BO. MIRADERO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "939-910-7910",
            "fax_number": "939-910-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "OWNER/RPH/I/C",
        "authorized_official_telephone_number": "939-910-7910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "14F3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4028379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia La 100",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Raul Melendez, M.D.
• Deirieris Mendez Lopez, OTL
• Maritza Mercado Luciano
• Francis Mercado
• Nidia Mercado, NL
• Miaa Inc (Farmacia Yary Am)
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.
• Migrant Health Center Western Region, Inc.

• Community/Retail Pharmacy in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.