Healthcare Provider Details

I. General information

NPI: 1629069984
Provider Name (Legal Business Name): FARMACIA SAN MARCOS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 CALLE VIDAL FELIX
HATILLO PR
00659
US

IV. Provider business mailing address

71 CALLE PH HERNANDEZ
HATILLO PR
00659
US

V. Phone/Fax

Practice location:
  • Phone: 787-898-2525
  • Fax:
Mailing address:
  • Phone: 787-898-2525
  • Fax: 787-262-0289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAWILMAR FRANCO GINORIO
Title or Position: PRESIDENT
Credential:
Phone: 787-644-6411