<Unavail>

LBN: Fame Llc
<Unavail> is an health care organization with primary practice located at 105 Carr 686 Km 17.9, Vega Baja PR 00693-4551. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fame Llc can be contacted via phone (787) 858-1231, or through Maldonado, Felix A via phone (787) 608-0140.

Contact Information

Primary practice address
105 Carr 686 Km 17.9 Vega Baja PR 00693-4551
Phone: (787) 858-1231
Fax: (787) 858-0983
Website:
Map and Directions
Authorized official contact:
Name: Maldonado, Felix A PHARM. D.
Phone: (787) 608-0140

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 07-F-0548 Puerto Rico

Profile Details

NPI number 1114001963
LBN Legal business name Fame Llc
DBA Doing business as <Unavail>
Authorized official Maldonado, Felix A PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Oct 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114001963 NPPES
Puerto Rico MEDICAID 039711500
Puerto Rico Other DF-04022-0
Puerto Rico Other F-1097666

Popular Providers