Ldca Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16-F-3080 Issued in PR

Legal business name

LDCA ENTERPRISE INC

Practice address

Carr 125 KM 21.9 Bo. Bahomamey
San Sebastian Medical Center Suite # 4
San Sebastian, PR 00685

Phone

(787) 926-7999

Fax

(787) 926-7899

NPI assigned

Dec 19, 2012

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

President

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": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1508102518",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 125 KM 21.9 BO. BAHOMAMEY",
            "address_2": "SAN SEBASTIAN MEDICAL CENTER SUITE # 4",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-926-7999",
            "fax_number": "787-926-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDCA ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "VILLAHERMOSA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-374-7467",
        "authorized_official_credential": "CPC , PMB"
    },
    "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": "16-F-3080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIV Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Lexmayris Ambulance, Inc.

• 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 6, 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.