Provider Demographics
NPI:1629105267
Name:LUIS A ALEJANDRO GONZALEZ
Entity Type:Organization
Organization Name:LUIS A ALEJANDRO GONZALEZ
Other - Org Name:FARMACIA ALEJANDRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALEJANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:787-789-2920
Mailing Address - Street 1:FARMACIA ALEJANDRO
Mailing Address - Street 2:APARTADO 1729
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1729
Mailing Address - Country:US
Mailing Address - Phone:787-789-2920
Mailing Address - Fax:787-720-3934
Practice Address - Street 1:FARMACIA ALEJANDRO
Practice Address - Street 2:CALLE CARAZO 142
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00696
Practice Address - Country:US
Practice Address - Phone:787-789-2920
Practice Address - Fax:787-720-2934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F06683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy