Provider Demographics
NPI:1902106826
Name:PRODUCTOS FAMILIA DE PUERTO RICO INC.
Entity Type:Organization
Organization Name:PRODUCTOS FAMILIA DE PUERTO RICO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FABIO
Authorized Official - Middle Name:
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-268-1020
Mailing Address - Street 1:PO BOX 362743
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2743
Mailing Address - Country:US
Mailing Address - Phone:787-268-1020
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE ISMAEL RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1746
Practice Address - Country:US
Practice Address - Phone:787-268-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies