Provider Demographics
NPI:1376683318
Name:SOCOEDAD HNOS MAHIQUES
Entity Type:Organization
Organization Name:SOCOEDAD HNOS MAHIQUES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMARIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAHIQUES
Authorized Official - Suffix:
Authorized Official - Credentials:LCDO
Authorized Official - Phone:787-898-3975
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0067
Mailing Address - Country:US
Mailing Address - Phone:787-820-4693
Mailing Address - Fax:
Practice Address - Street 1:CALLE VIDAL FELIX 121
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-820-4693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3923910001Medicare ID - Type UnspecifiedPROVIDER NUMBER