Aitana Ponce LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19-F-3468 Issued in PR

Legal business name

AITANA PONCE LLC

Practice address

Carretera 121 KM 4.8
Bo Maginas
Sabana Grande, PR 00637

Phone

(787) 254-9401

Fax

(787) 804-0801

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Ramon E Mercado Galarza

Title

Owner

Phone

(787) 254-9401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1730629601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530535",
            "telephone_number": "787-254-9401",
            "fax_number": "787-804-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 121 KM 4.8",
            "address_2": "BO MAGINAS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-254-9401",
            "fax_number": "787-804-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITANA PONCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MERCADO GALARZA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-254-9401"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19-F-3468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Sabana Grande, PR
• Providers in Sabana Grande, 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 Dec 18, 2024; 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.