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1023164118 NPI number — INVERSIONES VISTAMAR, INC

NPI Number: 1023164118
Health Care Provider/Practitioner: INVERSIONES VISTAMAR, INC

Information about “1023164118” NPI (INVERSIONES VISTAMAR, INC) exists in 1023164118 in HTML format HTML  |  1023164118 in plain Text format TXT  |  1023164118 in PDF (Portable Document Format) PDF  |  1023164118 in an XML format XML  formats.

NPI Number : 1023164118 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023164118",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INVERSIONES VISTAMAR, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "K 628 AVE JORGE VAZQUEZ SANES",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAROLINA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-768-6637",
    "MailingAddressFaxNumber": "787-762-0780",
    "FirstLinePracticeLocationAddress": "K628 AVE JORGE VAZQUEZ SANES",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAROLINA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-768-6637",
    "PracticeLocationAddressFaxNumber": "787-762-0780",
    "EnumerationDate": "01/25/2007",
    "LastUpdateDate": "11/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLON",
    "AuthorizedOfficialFirstName": "LUIS",
    "AuthorizedOfficialMiddleName": "G",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "787-768-6637",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": "07F1643",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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