Provider Demographics
NPI:1003846023
Name:FARMACIA ADONAI INC
Entity Type:Organization
Organization Name:FARMACIA ADONAI INC
Other - Org Name:FARMACIA ADONAI INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANASIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-984-1900
Mailing Address - Street 1:21 CALLE DR ULISES CLAVELL
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-8012
Mailing Address - Country:US
Mailing Address - Phone:787-984-1900
Mailing Address - Fax:787-844-4231
Practice Address - Street 1:21 CALLE DR ULISES CLAVELL
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-8012
Practice Address - Country:US
Practice Address - Phone:787-984-1900
Practice Address - Fax:787-844-4231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17-F-27893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2086544OtherPK