Provider Demographics
NPI:1528015054
Name:FARMACIA CINTRON INC
Entity Type:Organization
Organization Name:FARMACIA CINTRON INC
Other - Org Name:FARMACIA CINTRON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PHARMACIST ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HERMINIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-894-2190
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-0027
Mailing Address - Country:US
Mailing Address - Phone:787-894-2190
Mailing Address - Fax:787-814-0175
Practice Address - Street 1:74 CALLE DR CUETO
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2850
Practice Address - Country:US
Practice Address - Phone:787-894-2190
Practice Address - Fax:787-814-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17-F-00503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2083935OtherPK
3907820001Medicare NSC