Provider Demographics
NPI:1275633448
Name:QUIROZ LLC
Entity Type:Organization
Organization Name:QUIROZ LLC
Other - Org Name:FARMACIA CRISTINA LOS FILTROS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-786-1084
Mailing Address - Street 1:1 AVE CASA LINDA
Mailing Address - Street 2:CARR 177 KM 2.0 LOS FILTROS SUITE 101
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-272-4998
Mailing Address - Fax:787-272-4969
Practice Address - Street 1:1 AVE CASA LINDA
Practice Address - Street 2:CARR 177 KM 2 0, LOS FILTROS, SUITE 101
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-9000
Practice Address - Country:US
Practice Address - Phone:787-272-4998
Practice Address - Fax:787-272-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4023583OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5596330001Medicare NSC