NPIMap

Organization Active NPI

Farmacia Plaza Alta, Inc Dba Farmacia Marilu

  • Pharmacy
  • Guaynabo, PR
National Provider Identifier
1093159683
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
15-F-3126 Issued in PR
Legal business name
FARMACIA PLAZA ALTA, INC DBA FARMACIA MARILU
Practice address
Ave. Ramirez de Arrellano 19-22 Suite 1
Centro Comercial Torrimar
Guaynabo, PR 00969
Phone
(787) 272-1205
Fax
(787) 720-9379
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Ms. Leida Ortiz
Title
President
Phone
(787) 272-1205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 15-F-3126 PR Primary

Addresses

Primary practice location

Ave. Ramirez de Arrellano 19-22 Suite 1
Centro Comercial Torrimar
Guaynabo, PR 00969

Mailing address

Ave. Ramirez de Arrellano 19-22 Suite 1
Centro Comercial Torrimar
Guaynabo, PR 00969
Phone (787) 272-1205

Other identifiers 1

IdentifierTypeStateIssuer
15-F-3126OtherPRSTATE LICENSE

Other names 1

  • Farmacia Plaza Alta Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Plaza Alta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1093159683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. RAMIREZ DE ARRELLANO 19-22 SUITE 1",
            "address_2": "CENTRO COMERCIAL TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1205",
            "fax_number": "787-720-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. RAMIREZ DE ARRELLANO 19-22 SUITE 1",
            "address_2": "CENTRO COMERCIAL TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1205",
            "fax_number": "787-720-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA PLAZA ALTA, INC DBA FARMACIA MARILU",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "LEIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-272-1205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "15-F-3126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15-F-3126",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia Plaza Alta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.