Organization Active NPI

Receta a Su Puerta Inc.

  • Health Maintenance Organization
National Provider Identifier
1205979838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
08F2389 Issued in PR
Legal business name
RECETA A SU PUERTA INC.
Practice address
Calle Roble # 251 Bo. Capetillo
Rio Piedras, PUERTO RICO 00925
UM
Phone
(787) 765-1211
Fax
(787) 765-1576
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Zuleika Mundo Padro
Title
Owner
Phone
(787) 751-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 08F2389 PR Primary

Addresses

Primary practice location

Calle Roble # 251 Bo. Capetillo
Rio Piedras, PUERTO RICO 00925
UM

Mailing address

Calle Roble #251 Bo. Capetillo
Rio Piedras, PR 00925-0000
Phone (787) 765-1211

Other names 1

  • farmacia capetillo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Capetillo2 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.

Locations

251 Calle Roble
San Juan, PR 00925
Phone (787) 751-6312

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205979838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ROBLE #251 BO. CAPETILLO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009250000",
            "telephone_number": "787-765-1211",
            "fax_number": "787-765-1576"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CALLE ROBLE # 251 BO. CAPETILLO",
            "city": "RIO PIEDRAS",
            "state": "PUERTO RICO",
            "postal_code": "00925",
            "telephone_number": "787-765-1211",
            "fax_number": "787-765-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECETA A SU PUERTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNDO PADRO",
        "authorized_official_first_name": "ZULEIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-751-6312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "08F2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "farmacia capetillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.