Healthcare Provider Details

I. General information

NPI: 1487287231
Provider Name (Legal Business Name): HECMAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA #3 KM 29.6 BARRIO PALMER SECTOR CAROLA
RIO GRANDE PR
00745
US

IV. Provider business mailing address

132 CALLE FAISAN URBANIZACION HACIENDA PALOMA 1
LUQUILLO PR
00773
US

V. Phone/Fax

Practice location:
  • Phone: 787-246-4362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MRS. MARIMYR BETANCOURT
Title or Position: OWNER
Credential:
Phone: 787-246-4362