Provider Demographics
NPI:1568556868
Name:LUZ N TORRES SANTIAGO
Entity Type:Organization
Organization Name:LUZ N TORRES SANTIAGO
Other - Org Name:FARMACIA LAS MARIAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-827-3165
Mailing Address - Street 1:PO BOX 331
Mailing Address - Street 2:
Mailing Address - City:LAS MARIAS
Mailing Address - State:PR
Mailing Address - Zip Code:00670-0331
Mailing Address - Country:US
Mailing Address - Phone:787-827-3165
Mailing Address - Fax:787-827-3925
Practice Address - Street 1:95 AVE MATIAS BRUGMAN
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670-2009
Practice Address - Country:US
Practice Address - Phone:787-827-3165
Practice Address - Fax:787-827-3925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11F24893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4018784OtherNCPDP PROVIDER IDENTIFICATION NUMBER