Provider Demographics
| NPI: | 1376779538 |
|---|---|
| Name: | RINGEIGHT CORP |
| Entity type: | Organization |
| Organization Name: | RINGEIGHT CORP |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PHARMACY |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | RAQUEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | DEL VALLE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 939-242-3527 |
| Mailing Address - Street 1: | PO BOX 9172 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HUMACAO |
| Mailing Address - State: | PR |
| Mailing Address - Zip Code: | 00792-9172 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4 CALLE FLOR GERENA N |
| Practice Address - Street 2: | |
| Practice Address - City: | HUMACAO |
| Practice Address - State: | PR |
| Practice Address - Zip Code: | 00791-4292 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 787-852-5500 |
| Practice Address - Fax: | 787-852-5500 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-06-02 |
| Last Update Date: | 2015-06-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PR | 17F2737 | 3336C0003X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 2121181 | Other | PK |