Healthcare Provider Details

I. General information

NPI: 1457100794
Provider Name (Legal Business Name): RECETAS Y MA'S, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. CASTIGLIONI B-2 URB. BAYAMON GARDENS
BAYAMON PR
00957
US

IV. Provider business mailing address

PO BOX 25247
SAN JUAN PR
00928
US

V. Phone/Fax

Practice location:
  • Phone: 787-799-7810
  • Fax:
Mailing address:
  • Phone: 787-740-3015
  • Fax: 787-740-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier039785800
Identifier TypeMEDICAID
Identifier StatePR
Identifier Issuer

VIII. Authorized Official

Name: SABRI HAMED
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 787-740-3015