Organization Active NPI

Farmacia Amiga Montecarlo Inc

  • Community/Retail Pharmacy
  • San Juan, PR
National Provider Identifier
1518978188
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18F2684 Issued in PR
Legal business name
FARMACIA AMIGA MONTECARLO INC
Doing business as
FARMACIA AMIGA MONTECARLO
Practice address
Centro Comercial Montecarlo
Ave Rafael Hernandez Marin 800 Sta 5
San Juan, PR 00924
Phone
(787) 762-1616
Fax
(787) 769-5353
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Ana Caban
Title
President
Phone
(787) 762-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18F2684 PR Primary

Addresses

Primary practice location

Centro Comercial Montecarlo
Ave Rafael Hernandez Marin 800 Sta 5
San Juan, PR 00924

Mailing address

Centro Comercial Montecarlo
Ave Rafael Hernandez Marin 800 Sta 5
San Juan, PR 00924
Phone (787) 762-1616

Other identifiers 1

IdentifierTypeStateIssuer
2087520OtherPK

Other names 1

  • FARMACIA AMIGA MONTECARLO Doing business as

National Provider Directory

National Provider Directory

Locations

800 Ave Rafael Hernandez Marin
Ste 5
San Juan, PR 00924
Phone (787) 762-1616

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1518978188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL MONTECARLO",
            "address_2": "AVE RAFAEL HERNANDEZ MARIN 800 STA 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-762-1616",
            "fax_number": "787-769-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL MONTECARLO",
            "address_2": "AVE RAFAEL HERNANDEZ MARIN 800 STA 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-762-1616",
            "fax_number": "787-769-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA AMIGA MONTECARLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-1616"
    },
    "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": "18F2684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA AMIGA MONTECARLO",
            "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 18, 2017; 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.