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NPI Code Detail

MEDICARE: FARMACIA EL TUQUE

MEDICARE: FARMACIA EL TUQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy06-F-2252PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14016906OTHERPRNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932185824
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARMACIA EL TUQUE
Provider Business Mailing Address
First Line : 553 CALLE RAMOS ANTONINI
Second Line : PARC EL TUQUE
City : PONCE
State : PR
Zip : 00728-4806
Country : US
Telephone Number : 787-844-2805
Fax Number : 787-841-5551
Provider Business Practice Location Address
First Line : 553 CALLE RAMOS ANTONINI
Second Line : EL TUQUE
City : PONCE
State : PR
Zip : 00728-4806
Country : US
Telephone Number : 787-844-2805
Fax Number : 787-841-5551
Authorized Official
Title or Position : PRESIDENT
Name : DR. WALDEMAR J NIEVES
Credential : PHARM D.
Telephone Number : 787-844-2805
Provider Enumeration Date : 12/21/2005
Last Update Date : 01/25/2022

Similar Medicare Providers

1831174630 — DR. JUAN SANTOS-OLIVARES RPH, PHARM D
Practice Location Address:
553 CALLE RAMOS ANTONINI , EL TUQUE
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax: 787-841-5551
1730166547 — MRS. YANITZA I RODRIGUEZ-FERRA PH.T.
Practice Location Address:
553 CALLE RAMOS ANTONINI , EL TUQUE
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax: 787-841-5551
1598742256 — MS. NILDA GHIGLIOTTY PH. T.
Practice Location Address:
553 CALLE RAMOS ANTONINI , EL TUQUE
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax: 787-841-5551
1366429078 — MR. DAVID GUZMAN-NIEVES PH.T.
Practice Location Address:
553 CALLE RAMOS ANTONINI , EL TUQUE
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax: 787-841-5551
1063499705 — DR. NILDA E. BANCHS PHARM. D.
Practice Location Address:
553 CALLE RAMOS ANTONINI , EL TUQUE
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax: 787-841-5551
1013378017 — JOSE MARCOS BRUNET RIVERA
Practice Location Address:
553 CALLE RAMOS ANTONINI
PONCE, PR
00728-4806
Practice Phone: 787-844-2805
Practice Fax:

Directions to “FARMACIA EL TUQUE ” Practice Location

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