Provider Demographics
NPI:1528275112
Name:FARMACIA LA RAMPLA INC.
Entity type:Organization
Organization Name:FARMACIA LA RAMPLA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:GOMEZ
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-893-3590
Mailing Address - Street 1:54 CALLE CRISTOBAL COLON
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-3340
Mailing Address - Country:US
Mailing Address - Phone:787-893-3590
Mailing Address - Fax:787-893-3984
Practice Address - Street 1:#54 CALLE CRISTOBAL COLON
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3340
Practice Address - Country:US
Practice Address - Phone:787-893-3590
Practice Address - Fax:787-893-3984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-1523332B00000X
PR7-F-15233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR07-F-1523OtherPHARMACY
PR1256530001Medicare NSC