Provider Demographics
NPI:1558307355
Name:RICARDO CINTRON
Entity Type:Organization
Organization Name:RICARDO CINTRON
Other - Org Name:FARMACIA EL APOTECARIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:BS PH
Authorized Official - Phone:787-844-2135
Mailing Address - Street 1:PMB 381
Mailing Address - Street 2:#609 AVE. TITO CASTRO
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0206
Mailing Address - Country:US
Mailing Address - Phone:787-844-2135
Mailing Address - Fax:787-284-2135
Practice Address - Street 1:625 AVE TITO CASTRO
Practice Address - Street 2:STE 101
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0201
Practice Address - Country:US
Practice Address - Phone:787-844-2135
Practice Address - Fax:787-284-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-26503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084572OtherPK