Farmacia San Rafael Santurce, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-F-2298 Issued in PR

Legal business name

FARMACIA SAN RAFAEL SANTURCE, INC

Practice address

851 Calle Lafayette
Pda 20
San Juan, PR 00909-2627

Phone

(787) 724-3333

Fax

(787) 721-4165

NPI assigned

Feb 20, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Angel Diaz Reyes, PH T.NPI 1851835615

Title

Administrator

Phone

(787) 724-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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.

• Rafael Diaz Reyes, PH.T.

  • Pharmacy Technician
  • San Juan, PR
  • NPI 1851835615
  Authorized official Same address or phone
• Yolanda Rivera, LIC

  • Pharmacist
  • San Juan, PR
  • NPI 1013003433
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952446825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CALLE LAFAYETTE",
            "address_2": "PDA 20",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092627",
            "telephone_number": "787-724-3333",
            "fax_number": "787-721-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CALLE LAFAYETTE",
            "address_2": "PDA 20",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092627",
            "telephone_number": "787-724-3333",
            "fax_number": "787-721-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA SAN RAFAEL SANTURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ REYES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-724-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH T."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17-F-2298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17-F-2298",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmacia Milla de Oro
• Farmacia Paomela
• Farmacia Profesional Ashford
• Farmacia Puerto Rico
• Farmacia Rodriguez Noble Inc (Medical Pharmacy)
• Farmacia San Rafael Santurce, Inc. (San Rafael Specialty)
• Farmacia San Rafael, Inc (San Rafael Medical Equipment)
• Farmacia Senorial
• Farmacia Torre Auxilio Mutuo
• Farmacia Upr-Ctu

• Community/Retail Pharmacy in San Juan, PR
• Providers in San Juan, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.