Farmacia Brisas del Mar, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AF3151191 Issued in PR

Legal business name

FARMACIA BRISAS DEL MAR, INC.

Practice address

901 Calle 2
Brisas del Mar
Luquillo, PR 00773-2463

Phone

(787) 889-4880

Fax

(787) 889-0410

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Ana Iris De la Cruz Padilla

Title

Manager

Phone

(787) 889-4880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609931427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CALLE 2",
            "address_2": "BRISAS DEL MAR",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732463",
            "telephone_number": "787-889-4880",
            "fax_number": "787-889-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CALLE 2",
            "address_2": "BRISAS DEL MAR",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732463",
            "telephone_number": "787-889-4880",
            "fax_number": "787-889-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA BRISAS DEL MAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "ANA IRIS",
        "authorized_official_middle_name": "DE LA CRUZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "17878894880"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "AF3151191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Luquillo, PR
• Providers in Luquillo, 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 22, 2020; 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.