Provider Demographics
NPI:1467603407
Name:MILORL LLC
Entity Type:Organization
Organization Name:MILORL LLC
Other - Org Name:FARMACIA CRISTINA FLAMINGO
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:C11 CALLE BB CENTRO COMERCIAL SANTA ELENA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-780-3005
Mailing Address - Fax:787-740-2789
Practice Address - Street 1:CALLE BB LOCAL C-11
Practice Address - Street 2:CENTRO COMMERICAL SANTA ELENA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-780-3005
Practice Address - Fax:787-740-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117295OtherPK