Provider Demographics
NPI:1568516268
Name:CELIANA INC
Entity Type:Organization
Organization Name:CELIANA INC
Other - Org Name:FARMACIA NUEVA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-893-2440
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0031
Mailing Address - Country:US
Mailing Address - Phone:787-893-2440
Mailing Address - Fax:787-893-2440
Practice Address - Street 1:37 CALLE CRISTOBAL COLON
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3324
Practice Address - Country:US
Practice Address - Phone:787-893-2440
Practice Address - Fax:787-893-2440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-00823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4000511OtherNCPDP
PR4301350001Medicare PIN