Provider Demographics
NPI:1497388938
Name:FARMACIA LA NUEVA MONSERRATE INC
Entity Type:Organization
Organization Name:FARMACIA LA NUEVA MONSERRATE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-849-2997
Mailing Address - Street 1:HC-02 BOX 9285
Mailing Address - Street 2:
Mailing Address - City:HORMINGUEVAS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-849-2997
Mailing Address - Fax:787-255-9777
Practice Address - Street 1:HORMIGUEVOS TWIN PLAZA
Practice Address - Street 2:CARR, 3344 KM 0.7
Practice Address - City:HORMIGUEVOS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-849-2997
Practice Address - Fax:787-255-9777
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARMACIA LA NUEVA MONSERRATE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy