Provider Demographics
NPI:1275760431
Name:FARMACIA HAYUYA INC
Entity Type:Organization
Organization Name:FARMACIA HAYUYA INC
Other - Org Name:FARMACIA HAYUYA INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-828-4499
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-0396
Mailing Address - Country:US
Mailing Address - Phone:787-828-4499
Mailing Address - Fax:787-987-9190
Practice Address - Street 1:3 CARR 144
Practice Address - Street 2:BO JAYUYA ABAJO, SECTOR SANTA CLARA
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-1517
Practice Address - Country:US
Practice Address - Phone:787-828-4499
Practice Address - Fax:787-987-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15F2735333600000X
3336C0003X, 3336C0004X, 3336M0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2120584OtherPK