Provider Demographics
NPI:1225112980
Name:INVERSIONES NURI INC
Entity Type:Organization
Organization Name:INVERSIONES NURI INC
Other - Org Name:FARMACIA FATIMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSSIE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RIVERA TRINIDAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-753-0794
Mailing Address - Street 1:224 DOMENECH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-753-0794
Mailing Address - Fax:787-772-4524
Practice Address - Street 1:224 DOMENECH AVE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-0794
Practice Address - Fax:787-772-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F20163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4013265OtherNABP
4604220001Medicare ID - Type Unspecified