Provider Demographics
NPI:1962861153
Name:LOS PAISANOS
Entity Type:Organization
Organization Name:LOS PAISANOS
Other - Org Name:FARMACIA AREEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:TARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-761-1212
Mailing Address - Street 1:200 CALLE CUPEY GDNS
Mailing Address - Street 2:STE 1E
Mailing Address - City:CUPEY
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7341
Mailing Address - Country:US
Mailing Address - Phone:787-761-1212
Mailing Address - Fax:787-761-1255
Practice Address - Street 1:200 CALLE CUPEY GDNS
Practice Address - Street 2:STE 1E
Practice Address - City:CUPEY
Practice Address - State:PR
Practice Address - Zip Code:00926-7341
Practice Address - Country:US
Practice Address - Phone:787-761-1212
Practice Address - Fax:787-761-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47565473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy