Provider Demographics
NPI:1689886392
Name:COMPANIA SERVICIOS MULTIPLES LA COMERIENA INC
Entity type:Organization
Organization Name:COMPANIA SERVICIOS MULTIPLES LA COMERIENA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS A
Authorized Official - Middle Name:A
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-875-2411
Mailing Address - Street 1:40 CALLE GEORGETTI
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-2537
Mailing Address - Country:US
Mailing Address - Phone:787-875-2411
Mailing Address - Fax:787-875-2245
Practice Address - Street 1:40 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-2537
Practice Address - Country:US
Practice Address - Phone:787-875-2411
Practice Address - Fax:787-875-2245
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COOPERATIVA DE AHORRO Y CREDITO LA COMERIENA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-04
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09F20023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy