Farmacia San Jose Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

17F3271 Issued in PR

Legal business name

FARMACIA SAN JOSE CORP

Practice address

5 Calle de Diego E
Esquina Dr. Basora
Mayaguez, PR 00680-4811

Phone

(787) 986-7837

Fax

(787) 986-7838

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Angel Vazquez

Title

President

Phone

(787) 986-7837

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• farmacia san jose corp Doing business as

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1386973576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE DE DIEGO E",
            "address_2": "ESQUINA DR. BASORA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804811",
            "telephone_number": "787-986-7837",
            "fax_number": "787-986-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE DE DIEGO E",
            "address_2": "ESQUINA DR. BASORA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804811",
            "telephone_number": "787-986-7837",
            "fax_number": "787-986-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN JOSE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-986-7837"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PR",
            "license": "17F3271",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "farmacia san jose corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmacia Jomar Inc
• Farmacia la Nueva Candelaria, LLC.
• Farmacia Las Colinas Mayaguez Inc
• Farmacia Nueva
• Farmacia Policlinica Bella Vista
• Farmacia Vargas Bravo
• Nayip Fas Ramos, PA
• Alondra Feliciano Perez, MS
• Bianca Paola Feliciano, PHD
• Damaris Feliciano, MD

• Pharmacy in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.