Provider Demographics
NPI:1992191670
Name:FARMACIA RUIZ BELVIS SAN LORENZO
Entity Type:Organization
Organization Name:FARMACIA RUIZ BELVIS SAN LORENZO
Other - Org Name:MULERO OCASIO INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:OCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-715-3800
Mailing Address - Street 1:17 AVENIDA RAFAEL CORDERO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-715-3800
Mailing Address - Fax:787-715-3729
Practice Address - Street 1:CARRETERA 181 KM 1.00
Practice Address - Street 2:BO QUEMADOS
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-715-3800
Practice Address - Fax:787-715-3729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17F3269333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy