Healthcare Provider Details

I. General information

NPI: 1316989171
Provider Name (Legal Business Name): FARMACIA BELMONTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO PLAZA MONSERRATE (LOCAL #6) CARRETERA 345, KM. 2.0
HORMIGUEROS PR
00660
US

IV. Provider business mailing address

PO BOX 1085
HORMIGUEROS PR
00660-1085
US

V. Phone/Fax

Practice location:
  • Phone: 787-849-0749
  • Fax: 787-849-3010
Mailing address:
  • Phone: 787-849-4173
  • Fax: 787-264-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number17-F-2496
License Number StatePR

VIII. Authorized Official

Name: DAVID MARTINEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-849-4173