Provider Demographics
NPI:1396890190
Name:ONESTOPPRESCRIPTIONISLAVERDE
Entity type:Organization
Organization Name:ONESTOPPRESCRIPTIONISLAVERDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARYTRESSURE
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-791-1290
Mailing Address - Street 1:150 AVE LOS GOBERNADORES
Mailing Address - Street 2:ISLAVERDE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-791-1290
Mailing Address - Fax:787-791-1307
Practice Address - Street 1:150 AVE LOS GOBERNADORES
Practice Address - Street 2:AIRPORT PLAZA, ISLA VERDE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-7077
Practice Address - Country:US
Practice Address - Phone:787-791-1290
Practice Address - Fax:787-791-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-22143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy