Super Farmacia Arzuaga Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20F3554 Issued in PR

Legal business name

SUPER FARMACIA ARZUAGA INC

Practice address

Carolina Shopping Court 1
Local 103-B Carr#3 Esq Roberto Clemente
Carolina, PR 00987

Phone

(787) 767-2626

Fax

(787) 767-2626

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edgardo Hernandez, CEO

Title

President

Phone

(787) 767-2626

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1518011758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAROLINA SHOPPING COURT",
            "address_2": "LOCAL 103-B CARR#3 ESQ ROBERTO CLEMENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-767-2626",
            "fax_number": "787-767-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA SHOPPING COURT 1",
            "address_2": "LOCAL 103-B CARR#3 ESQ ROBERTO CLEMENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-767-2626",
            "fax_number": "787-767-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA ARZUAGA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-767-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09-F-0307",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "20F3554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4016641",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Suarez, M.D. , D.M.D.
• Johana Suarez
• Evadelin Suazo, M.D.
• Marlene Lizbeth Subillaga
• Super Farmaacia Ideal
• Super Farmacia Mi Btotica
• Denisse Suriel, MSW
• Hiram Suris
• SV Gastroenterology LLC
• Syma Psychological and Therapy Services

• Community/Retail Pharmacy in Carolina, PR
• Providers in Carolina, 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 31, 2018; 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.