Super Farmacia Florida

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09F0131 Issued in PR

Legal business name

SUPER FARMACIA FLORIDA

Practice address

13 Calle Antonio Alcazar
Florida, PR 00650-1913

Phone

(787) 822-0704

Fax

(787) 822-1996

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dorisel Perez

Title

Pharmacist

Phone

(787) 822-0704

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelson J Medina

  • Pharmacy Technician
  • Florida, PR
  • NPI 1114046315
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1326169558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE ANTONIO ALCAZAR",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006501913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE ANTONIO ALCAZAR",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006501913",
            "telephone_number": "787-822-0704",
            "fax_number": "787-822-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DORISEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-822-0704"
    },
    "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": "09F0131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4018354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iraida Ruiz, M.D.
• Solimar Ruiz
• Ismael Santiago Ponce, LCDO
• Robin Santiago-Delgado, M.D.
• Ramonita Santiago, PHARMACIST
• Super Farmacia Perez
• Super Farmacia Plaza
• 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 Sep 25, 2007; 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.