Healthcare Provider Details

I. General information

NPI: 1487805297
Provider Name (Legal Business Name): OMHEC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 685, KM 2.9 BARRIO TIERRAS NUEVA
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 2188
MANATI PR
00674-2188
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-6201
  • Fax: 787-884-0019
Mailing address:
  • Phone: 787-884-6201
  • Fax: 787-884-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number18-F-2675
License Number StatePR

VIII. Authorized Official

Name: RUBEN SANTIAGO
Title or Position: PRESIDENT
Credential:
Phone: 787-844-6201