Provider Demographics
NPI:1205993532
Name:NSG SERVICIOS FARMACEUTICOS, LLC
Entity type:Organization
Organization Name:NSG SERVICIOS FARMACEUTICOS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AND CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NURI
Authorized Official - Middle Name:CORALI
Authorized Official - Last Name:ECHEVERRIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD,CDE
Authorized Official - Phone:787-736-2060
Mailing Address - Street 1:106 CALLE MUNOZ RIVERA S
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-3925
Mailing Address - Country:US
Mailing Address - Phone:787-736-2060
Mailing Address - Fax:787-736-7101
Practice Address - Street 1:106 CALLE MUNOZ RIVERA S
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-3925
Practice Address - Country:US
Practice Address - Phone:787-736-2060
Practice Address - Fax:787-736-7101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NSG SERVICIOS FARMACEUTICOS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-03
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1280790001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1280790001OtherMEDICARE IDENTIFICATION NUMBER
PR4007387OtherNCPDP NUMBER
PR=========OtherHUMANA GOLD PLUS
PR53062OtherTRIPLE SSS OPTIMO
PR=========OtherSALUD DORADA
PR=========OtherMAPFRE
PR4007387OtherCRUZ AZUL
PR6105OtherAMERICAN HEALTH MEDICARE