Provider Demographics
NPI:1588708101
Name:FARMACIA BETANCES
Entity type:Organization
Organization Name:FARMACIA BETANCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACY TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-825-1268
Mailing Address - Street 1:40 CALLE JOSE I QUINTON
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2408
Mailing Address - Country:US
Mailing Address - Phone:787-825-1268
Mailing Address - Fax:787-825-3302
Practice Address - Street 1:40 CALLE JOSE I QUINTON
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2408
Practice Address - Country:US
Practice Address - Phone:787-825-1268
Practice Address - Fax:787-825-8619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F04083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy