Provider Demographics
NPI:1114238383
Name:FARMACIA RAPIDA
Entity Type:Organization
Organization Name:FARMACIA RAPIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-929-1738
Mailing Address - Street 1:PO BOX 2058
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2058
Mailing Address - Country:US
Mailing Address - Phone:787-825-7874
Mailing Address - Fax:787-825-3278
Practice Address - Street 1:18A BALDORIOTY ST
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2058
Practice Address - Country:US
Practice Address - Phone:787-825-7874
Practice Address - Fax:787-825-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12F2821261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12F2821OtherSTATE LICENCE