# SUPER FARMACIA REBECA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881681047
- **Authorized official:** DALILA BULA B.S.P.H./M.S.PH (PHARMACIST OWNER)
- **Authorized official phone:** (787) 872-2410

## Contact information

- **Practice address:** 80 AVE NOEL ESTRADA, ISABELA, PR 00662-3102
- **Practice address phone:** (787) 872-2410
- **Practice address fax:** (787) 830-6262
- **Mailing address:** 80 AVE NOEL ESTRADA, ISABELA, PR 00662-3102
- **Mailing address phone:** (787) 872-2410
- **Mailing address fax:** (787) 830-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 07-F-1962 | PR | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 03/17/2016