Provider Demographics
NPI:1679848188
Name:FARMACIA CPTET BAYAMON
Entity Type:Organization
Organization Name:FARMACIA CPTET BAYAMON
Other - Org Name:FARMACIA - CPTET BAYAMON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGENT PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-787-5151
Mailing Address - Street 1:PO BOX 70184
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8184
Mailing Address - Country:US
Mailing Address - Phone:787-787-5151
Mailing Address - Fax:787-522-6309
Practice Address - Street 1:100 AVE LAUREL
Practice Address - Street 2:HOSP. RAMON RUIZ ARNAU-CPTET
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4816
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:787-522-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR13F30053336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4028088OtherNCPDP PROVIDER IDENTIFICATION NUMBER