Provider Demographics
NPI:1629194394
Name:OCASIO C R INC
Entity Type:Organization
Organization Name:OCASIO C R INC
Other - Org Name:FARMACIA RUIZ BELVIS DE LAS PIEDRAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-315-2056
Mailing Address - Street 1:17 CALLE RAFAEL CORDERO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2541
Mailing Address - Country:US
Mailing Address - Phone:787-733-0426
Mailing Address - Fax:787-733-0888
Practice Address - Street 1:CARR 917 KM 1.0
Practice Address - Street 2:BO TEJAS
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-733-0426
Practice Address - Fax:787-733-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17F25383336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2085779OtherPK