Provider Demographics
NPI:1922265289
Name:CARMEN I PINEIRO
Entity Type:Organization
Organization Name:CARMEN I PINEIRO
Other - Org Name:FARMACIA BARCELONETA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-846-0125
Mailing Address - Street 1:CALLE JUAN T PUIG
Mailing Address - Street 2:STE 1
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-2700
Mailing Address - Country:US
Mailing Address - Phone:787-846-0125
Mailing Address - Fax:787-846-0125
Practice Address - Street 1:CALLE JUAN T PUIG
Practice Address - Street 2:STE 1
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-2700
Practice Address - Country:US
Practice Address - Phone:787-846-0125
Practice Address - Fax:787-846-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16F32113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83401163Medicaid
2116425OtherPK