NPIMap

Organization Active NPI

Farmacia San Rafael Santurce, Inc.

Doing business as San Rafael Specialty

  • Specialty Pharmacy
  • San Juan, PR
National Provider Identifier
1417371303
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
17-F-2298 Issued in PR
Legal business name
FARMACIA SAN RAFAEL SANTURCE, INC.
Doing business as
San Rafael Specialty
Practice address
851 Calle Lafayette
San Juan, PR 00909-2627
Phone
(787) 724-3307
Fax
(787) 919-7058
NPI assigned
Feb 12, 2014
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Rafael Diaz ReyesNPI 1851835615
Title
President
Phone
(787) 724-3307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 17-F-2298 PR Primary

Addresses

Primary practice location

851 Calle Lafayette
San Juan, PR 00909-2627

Mailing address

PO Box 19791
San Juan, PR 00910-1791
Phone (787) 724-3307

Other identifiers 1

IdentifierTypeStateIssuer
2144222OtherPK

Other names 1

  • San Rafael Specialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia San Rafael Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1417371303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19791",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101791",
            "telephone_number": "787-724-3307",
            "fax_number": "787-919-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CALLE LAFAYETTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092627",
            "telephone_number": "787-724-3307",
            "fax_number": "787-919-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN RAFAEL SANTURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ REYES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-724-3307"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PR",
            "license": "17-F-2298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Rafael Specialty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Rafael Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.