Provider Demographics
NPI:1346282514
Name:FARMACIA BELMONTE, INC.
Entity Type:Organization
Organization Name:FARMACIA BELMONTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-851-3150
Mailing Address - Street 1:CALLE JUAN MORELL CAMPOS
Mailing Address - Street 2:URB. BORINQUEN Q-18
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3371
Mailing Address - Country:US
Mailing Address - Phone:787-851-3150
Mailing Address - Fax:787-255-2538
Practice Address - Street 1:CARR. #2 KM 174.0
Practice Address - Street 2:BO. CAIN ALTO
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-1045
Practice Address - Fax:787-892-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty