Organization
FARMACIA SAN RAFAEL, INC
Active
Other names
SAN RAFAEL MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUZ V DIAZ REYES CFOM, AUX PHARMACY (DEPARTMENT ADMINISTRATION/OWNER)
17877224803
Entity
Organization
Contact information
Practice address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 722-4803
(787) 721-3399
Mailing address
851 CALLE LAFAYETTE, PDA 20, SAN JUAN, PR 00909-2627
(787) 722-4803
(787) 721-3399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CFOM0538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-F-2298
PHARMACY LICENSE
PR
01
—
DF-02802-7
HEALTH DEPARTMENT LICENSE
PR
Enumeration date
06/16/2006
Last updated
05/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up