Provider Demographics
NPI:1740348895
Name:FARMACIA LECHUGA LLC
Entity type:Organization
Organization Name:FARMACIA LECHUGA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRADO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, JD
Authorized Official - Phone:787-898-5730
Mailing Address - Street 1:PO BOX 1323
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1323
Mailing Address - Country:US
Mailing Address - Phone:787-898-5730
Mailing Address - Fax:787-680-7811
Practice Address - Street 1:ROAD 130 KM 4 9
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-5730
Practice Address - Fax:787-680-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
PR19F32533336C0003X
PR07F1208333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084574OtherPK
1153170001Medicare NSC