Organization Active NPI

Farmacia CDT Policlinica San Pedro

  • Community/Retail Pharmacy
  • Arroyo, PR
National Provider Identifier
1700961679
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-2194 Issued in PR
Legal business name
FARMACIA CDT POLICLINICA SAN PEDRO
Practice address
211 Calle Morse
Arroyo, PR 00714-2350
Phone
(787) 839-3980
Fax
(787) 271-1016
NPI assigned
Oct 26, 2006
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Jose Sandalio Rivera
Title
Owner
Phone
(787) 839-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-2194 PR Primary

Addresses

Primary practice location

211 Calle Morse
Arroyo, PR 00714-2350

Mailing address

PO Box 818
Arroyo, PR 00714-0818
Phone (787) 839-3980

National Provider Directory

National Provider Directory

Locations

211 Calle Morse
Arroyo, PR 00714
Phone (787) 830-3980

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1700961679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140818",
            "telephone_number": "787-839-3980",
            "fax_number": "787-271-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CALLE MORSE",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142350",
            "telephone_number": "787-839-3980",
            "fax_number": "787-271-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA CDT POLICLINICA SAN PEDRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "SANDALIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-839-3980",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.