NPIMap

Organization Active NPI

Super Farmacia Rebeca

  • Health Maintenance Organization
  • Isabela, PR
National Provider Identifier
1881681047
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
07-F-1962 Issued in PR
Legal business name
SUPER FARMACIA REBECA
Practice address
80 Ave Noel Estrada
Isabela, PR 00662-3102
Phone
(787) 872-2410
Fax
(787) 830-6262
NPI assigned
Oct 3, 2005
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dalila Bula, B.S.P.H./M.S.PHNPI 1669572483
Title
Pharmacist Owner
Phone
(787) 872-2410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 07-F-1962 PR Primary

Addresses

Primary practice location

80 Ave Noel Estrada
Isabela, PR 00662-3102

Mailing address

80 Ave Noel Estrada
Isabela, PR 00662-3102
Phone (787) 872-2410

National Provider Directory

National Provider Directory

Locations

80 Ave Noel Estrada
Isabela, PR 00662
Phone (787) 872-2410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1881681047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 AVE NOEL ESTRADA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623102",
            "telephone_number": "787-872-2410",
            "fax_number": "787-830-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 AVE NOEL ESTRADA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623102",
            "telephone_number": "787-872-2410",
            "fax_number": "787-830-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMACIA REBECA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "BULA",
        "authorized_official_first_name": "DALILA",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "787-872-2410",
        "authorized_official_credential": "B.S.P.H./M.S.PH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "07-F-1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.