Provider Demographics
NPI:1700559960
Name:ISARONTE LLC.
Entity Type:Organization
Organization Name:ISARONTE LLC.
Other - Org Name:FARMACIA YOLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:GUTIERREZ
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-738-2457
Mailing Address - Street 1:PO BOX 371175
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1175
Mailing Address - Country:US
Mailing Address - Phone:787-738-2457
Mailing Address - Fax:787-738-2457
Practice Address - Street 1:CALLE MUNOZ RIVERA 105 SUR CAYEY PR 00736
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0073
Practice Address - Country:US
Practice Address - Phone:787-738-2457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy