Provider Demographics
NPI:1043348766
Name:CIALES, LA ESTRELLA INC.
Entity Type:Organization
Organization Name:CIALES, LA ESTRELLA INC.
Other - Org Name:FARMACIA ESTRELLA1
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-871-2155
Mailing Address - Street 1:PO BOX 1403
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-1403
Mailing Address - Country:US
Mailing Address - Phone:787-871-2155
Mailing Address - Fax:787-871-1593
Practice Address - Street 1:22 CALLE PALMER
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-3233
Practice Address - Country:US
Practice Address - Phone:787-871-2155
Practice Address - Fax:787-871-1593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F23173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy