Healthcare Provider Details

I. General information

NPI: 1902956295
Provider Name (Legal Business Name): FARMACIA MAESTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CALLE BARCELO
UTUADO PR
00641-2878
US

IV. Provider business mailing address

PO BOX 2331
UTUADO PR
00641-2331
US

V. Phone/Fax

Practice location:
  • Phone: 787-894-2075
  • Fax: 787-894-6272
Mailing address:
  • Phone: 787-894-2075
  • Fax: 787-894-6272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number18-F-3347
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR FRANCISCO RIVERA
Title or Position: PRESIDENT
Credential:
Phone: 787-894-2075