Super Farmacia Plaza

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11F0010 Issued in PR

Legal business name

SUPER FARMACIA PLAZA

Practice address

7 Calle Munoz Rivera
Florida, PR 00650-2033

Phone

(787) 822-2582

Fax

(787) 822-1546

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Virgilia Perez

Title

Pharmacist Owner

Phone

(787) 822-2582

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SUPER FARMACIA PLAZA Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1265597686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006500436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE MUNOZ RIVERA",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006502033",
            "telephone_number": "787-822-2582",
            "fax_number": "787-822-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VIRGILIA",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "787-822-2582"
    },
    "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": "11F0010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4011906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FARMACIA PLAZA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ismael Santiago Ponce, LCDO
• Robin Santiago-Delgado, M.D.
• Ramonita Santiago, PHARMACIST
• Super Farmacia Florida
• Super Farmacia Perez
• Jesus M Vazquez Santos, M.D.
• Dennisa Vernisse Vega Santana
• Viviana Velez Rosario

• Community/Retail Pharmacy in Florida, PR
• Providers in Florida, 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 Apr 21, 2010; 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.