Organization Active NPI

Luis Martinez Gonzalez Inc

  • Community/Retail Pharmacy
  • Rio Piedras, PR
National Provider Identifier
1306906433
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17F0920 Issued in PR
Legal business name
LUIS MARTINEZ GONZALEZ INC
Practice address
Carr 844 KM 3 Cupey Bajo
Rio Piedras, PR 00926
Phone
(787) 748-0880
Fax
(787) 760-1399
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Richard Negrin
Title
MGR
Phone
(787) 748-0880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17F0920 PR Primary

Addresses

Primary practice location

Carr 844 KM 3 Cupey Bajo
Rio Piedras, PR 00926

Mailing address

RR 18 Box 1390
San Juan, PR 00926-9821
Phone (787) 748-0880

Other identifiers 1

IdentifierTypeStateIssuer
2084229OtherPK

Other names 1

  • FARMACIA DEL CARMEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia del Carmen2 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

1390 RR 18
San Juan, PR 00926
Phone (787) 317-6158

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1306906433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 18 BOX 1390",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269821",
            "telephone_number": "787-748-0880",
            "fax_number": "787-760-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844 KM 3 CUPEY BAJO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-0880",
            "fax_number": "787-760-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MARTINEZ GONZALEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "NEGRIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "787-748-0880"
    },
    "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": "17F0920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DEL CARMEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.