Farmacia Centro Renal Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07F1234 Issued in PR

Legal business name

FARMACIA CENTRO RENAL INC.

Practice address

1050 Ave Los Corazones
Suite 103
Mayaguez, PR 00680-7042

Phone

(787) 831-0600

Fax

(787) 265-0670

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Minerva De SantiagoNPI 1750420139

Title

Pharmacist

Phone

(787) 831-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Minerva De Santiago, BSPH

  • Pharmacist
  • Mayaguez, PR
  • NPI 1750420139
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1619002037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 AVE LOS CORAZONES",
            "address_2": "SUITE 103",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-831-0600",
            "fax_number": "787-265-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 AVE LOS CORAZONES",
            "address_2": "SUITE 103",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-831-0600",
            "fax_number": "787-265-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA CENTRO RENAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "DE SANTIAGO",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-831-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07F1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4018873",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Farmacia Jomar Inc
• Farmacia la Nueva Candelaria, LLC.

• Community/Retail Pharmacy in Mayaguez, PR
• Providers in Mayaguez, 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 7, 2014; 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.