Organization Active NPI

Segundo a Ortiz Hernandez

Doing business as Farmacia Marilu

  • Community/Retail Pharmacy
  • Guaynabo, PR
National Provider Identifier
1417008251
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13F0728 Issued in PR
Legal business name
SEGUNDO A ORTIZ HERNANDEZ
Doing business as
Farmacia Marilu
Practice address
19-22 Ave Ramirez de Arellano
Guaynabo, PR 00966-3175
Phone
(787) 782-8747
Fax
(787) 783-6020
NPI assigned
Jan 16, 2007
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Segundo Ortiz
Title
Pharmacist and Owner
Phone
(787) 782-8747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 13F0728 PR Primary

Addresses

Primary practice location

19-22 Ave Ramirez de Arellano
Guaynabo, PR 00966-3175

Mailing address

19 22 Ave Ramirex de Arrelano
1 Torrinmar Shopping Ctr
Guaynabo, PR 00966-3175
Phone (787) 782-8747

Other identifiers 1

IdentifierTypeStateIssuer
2084378OtherPK

Other names 1

  • FARMACIA MARILU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Marilu2 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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1417008251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 22 AVE RAMIREX DE ARRELANO",
            "address_2": "1 TORRINMAR SHOPPING CTR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663175",
            "telephone_number": "787-782-8747",
            "fax_number": "787-783-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-22 AVE RAMIREZ DE ARELLANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663175",
            "telephone_number": "787-782-8747",
            "fax_number": "787-783-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUNDO A ORTIZ HERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "SEGUNDO",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "787-782-8747"
    },
    "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": "13F0728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA MARILU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.