Provider Demographics
NPI:1356560973
Name:SUPERMERCADO Y FARMACIA CAGUANA
Entity type:Organization
Organization Name:SUPERMERCADO Y FARMACIA CAGUANA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CINTION
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-528-1414
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641
Mailing Address - Country:US
Mailing Address - Phone:787-528-1414
Mailing Address - Fax:787-814-0175
Practice Address - Street 1:CARR 111 KM 52.7 CAGUANA
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-894-8283
Practice Address - Fax:787-894-6737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037960400Medicaid