Ldca Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16F2431 Issued in PR

Legal business name

LDCA ENTERPRISE INC

Doing business as

CIV PHARMACY

Practice address

4 Calle Munoz Rivera
San Sebastian, PR 00685-2289

Phone

(787) 280-2288

Fax

(787) 280-4569

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Carlos Villahermosa, CPC, PMB

Title

Pres

Phone

(787) 374-7467

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CIV PHARMACY Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1497839526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850902",
            "telephone_number": "787-280-2288",
            "fax_number": "787-280-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE MUNOZ RIVERA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852289",
            "telephone_number": "787-280-2288",
            "fax_number": "787-280-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDCA ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "VILLAHERMOSA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "787-374-7467",
        "authorized_official_credential": "CPC, PMB"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "16F2431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIV PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico San Antonio
• Mayra I Laguerre Rosa
• Confesor Lasalle-Ruiz, M.D.
• Lassalle & Vissepo Inc
• Ashley Latorre Ortiz, SLP
• Ldca Enterprise Inc
• Pedro Angel Lebron Ruiz
• Evidalia Lebron
• Leyda L. Lebron Sr.
• Lens4You Corp

• Community/Retail Pharmacy in San Sebastian, PR
• Providers in San Sebastian, 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 Aug 3, 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.