Provider Demographics
NPI:1447388061
Name:BARCELONETA LA ESTRELLA INC.
Entity Type:Organization
Organization Name:BARCELONETA LA ESTRELLA INC.
Other - Org Name:FARMACIA ESTRELLA 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:IVONNE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-846-4583
Mailing Address - Street 1:PO BOX 1251
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1251
Mailing Address - Country:US
Mailing Address - Phone:787-846-4583
Mailing Address - Fax:787-846-2334
Practice Address - Street 1:CARR. #2 KM 57.7
Practice Address - Street 2:BO. CRUCE DAVILA
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-846-4583
Practice Address - Fax:787-846-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19F34803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy