Provider Demographics
NPI:1144595786
Name:EMPRESAS ALONSO HECTOR INC.
Entity Type:Organization
Organization Name:EMPRESAS ALONSO HECTOR INC.
Other - Org Name:PHARMA 100 EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-2457
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0688
Mailing Address - Country:US
Mailing Address - Phone:787-832-2045
Mailing Address - Fax:787-834-4301
Practice Address - Street 1:CARR. 311 KM. 3.2 INTERSECCION CARR. 100
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-851-2615
Practice Address - Fax:787-834-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12-F-2897333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy