Super Farmaacia Ideal

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07-F-2123 Issued in PR

Legal business name

SUPER FARMAACIA IDEAL

Practice address

Centro Comercial El Comandante
Ave. 65 Inf. Esq. San Marcos
Carolina, PR 00985

Phone

(787) 752-9120

Fax

(787) 776-1148

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yarimar A Guerrero

Title

Manager

Phone

(787) 752-9120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952454423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29003",
            "address_2": "65 INFANTERIA STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290003",
            "telephone_number": "787-752-9120",
            "fax_number": "787-776-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL EL COMANDANTE",
            "address_2": "AVE. 65 INF. ESQ. SAN MARCOS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-752-9120",
            "fax_number": "787-776-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FARMAACIA IDEAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "YARIMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-752-9120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Suarez Ayuso, MD
• Jaime Suarez, M.D. , D.M.D.
• Johana Suarez
• Evadelin Suazo, M.D.
• Marlene Lizbeth Subillaga
• Super Farmacia Arzuaga Inc
• Super Farmacia Mi Btotica
• Denisse Suriel, MSW
• Hiram Suris
• SV Gastroenterology LLC

• Community/Retail Pharmacy in Carolina, PR
• Providers in Carolina, 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 22, 2020; 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.