Provider Demographics
NPI:1831284074
Name:FARMACIA LAS MONJAS INC.
Entity Type:Organization
Organization Name:FARMACIA LAS MONJAS INC.
Other - Org Name:FARMACIA LAS MONJAS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-646-0720
Mailing Address - Street 1:207 CALLE URUGUAY
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2009
Mailing Address - Country:US
Mailing Address - Phone:787-753-0674
Mailing Address - Fax:787-756-8872
Practice Address - Street 1:207 CALLE URUGUAY
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2009
Practice Address - Country:US
Practice Address - Phone:787-753-0674
Practice Address - Fax:787-756-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F03213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4020537OtherNABP